Chiropractic Diagnostic Testing

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

X006013-1 Issued in NY

Legal business name

CHIROPRACTIC DIAGNOSTIC TESTING

Doing business as

Pure Image Group

Practice address

2005 Merrick Rd
Suite 269
Merrick, NY 11566-4644

Phone

(212) 964-2000

NPI assigned

Dec 1, 2014

Last updated

Dec 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay Glenn Chait, DC

Title

President

Phone

(212) 964-2000

Specialties & licenses 1

Addresses

Other names 1

• Pure Image Group Doing business as

Locations

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1205233632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 MERRICK RD",
            "address_2": "SUITE 269",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664644",
            "telephone_number": "212-964-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 MERRICK RD",
            "address_2": "SUITE 269",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664644",
            "telephone_number": "212-964-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC DIAGNOSTIC TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "CHAIT",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-964-2000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NY",
            "license": "X006013-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Image Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joy C. Cesarski-Loew, CCC-SLP
• Matthew Chan, DPT
• Jennifer Chasin
• Qiaoran Chen, PHARMD
• Anne Cherisme Justafort, FNP
• Alexis Marie Chiusano, FNP
• Stacy H Cho, DMD
• Jennifer Choi, LCSW
• Sanjida Chowdhury
• Suraiya Chowdhury

• Mobile Radiology Clinic/Center in Merrick, NY
• Providers in Merrick, NY by specialty
• Mobile Radiology Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.