Individual provider Active NPI

Robert John Nyahay, D.C.

  • Rehabilitation Chiropractor
  • Philadelphia, PA
National Provider Identifier
1245326560
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC006545L Issued in PA
Practice address
5810 Greene St
Philadelphia, PA 19144-2704
Phone
(215) 844-7359
Fax
(215) 844-7402
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC006545L PA Primary

Addresses

Primary practice location

5810 Greene St
Philadelphia, PA 19144-2704

Mailing address

175 N Church St
Apt.3
Spring City, PA 19475-1838
Phone (610) 792-4154

Other identifiers 1

IdentifierTypeStateIssuer
0000906921OtherPABS/BS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC006545LPAMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
JL Medical Consultants PC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245326560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N CHURCH ST",
            "address_2": "APT.3",
            "city": "SPRING CITY",
            "state": "PA",
            "postal_code": "194751838",
            "telephone_number": "610-792-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 GREENE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442704",
            "telephone_number": "215-844-7359",
            "fax_number": "215-844-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYAHAY",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC006545L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS/BS PROVIDER NUMBER",
            "identifier": "0000906921",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.