Fresh Meadows Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FRESH MEADOWS CHIROPRACTIC P.C.

Practice address

184 17 Union Turnpike
Fresh Meadows, NY 11365

Phone

(718) 454-0737

Fax

(718) 454-1819

NPI assigned

Oct 4, 2006

Last updated

Feb 11, 2015By 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

Dr. Jerold BlattNPI 1992971097

Title

Pres

Phone

(718) 454-0737

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerold Blatt, DC PT

  • Chiropractor
  • Fresh Meadows, NY
  • NPI 1992971097
  Medicare reassignment NPD Authorized official
• Mitchell Berk, L.C.S.W., M.A.

  • Clinical Social Worker
  • Fresh Meadows, NY
  • NPI 1336217397
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1316032253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 17 UNION TURNPIKE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "718-454-0737",
            "fax_number": "718-454-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 17 UNION TURNPIKE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "718-454-0737",
            "fax_number": "718-454-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH MEADOWS CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "BLATT",
        "authorized_official_first_name": "JEROLD",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "718-454-0737",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unique Freeman
• Fresh Eyes Inc
• Fresh Meadow Pharmacy Inc
• Fresh Meadows Adult Day Care LLC
• Fresh Meadows Best Medical Care PC
• Fresh Meadows Home Care Adult Health NP PLLC
• Fresh Meadows Medical Services PLLC
• Fresh Meadows Physical Therapy PC
• Fresh Meadows PT PLLC
• Fresh Meds Pharmacy Inc.

• Chiropractor in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.