Jason Ailbruz Abaza, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00745800 Issued in NJ

Practice address

257 Prospect Ave Ste 16
West Orange, NJ 07052-4210

Phone

(973) 910-1014

NPI assigned

Aug 22, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adjust Chiropractic Health Center

  • Chiropractor
  • West Orange, NJ
  • NPI 1689190548
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194241042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 PROSPECT AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524210",
            "telephone_number": "973-910-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 PROSPECT AVE STE 16",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524210",
            "telephone_number": "973-910-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAZA",
        "first_name": "JASON",
        "middle_name": "AILBRUZ",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00745800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1 Prospect Physical Therapy, LLC
• 20 Summit Street Operations LLC (Summit Ridge Center)
• 828 Express LLC
• Abbas a. Shehadeh MD, PA
• Abbassi and Agrama P C
• Samih Rajab Abbassi, MD
• Marc Abbate, MD
• Cynthia Abbott

• Chiropractor in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.