Jeremy Wayne Rademacker, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008352-1 Issued in NY

Practice address

200 Sterling Dr
Ste 400
Orchard Park, NY 14127-1577

Phone

(716) 675-5544

Fax

(716) 675-5546

NPI assigned

Mar 29, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Norma C Quijada PLLC

  • Specialist
  • Orchard Park, NY
  • NPI 1811945561
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1316066335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STERLING DR",
            "address_2": "STE 400",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271577",
            "telephone_number": "716-675-5544",
            "fax_number": "716-675-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STERLING DR",
            "address_2": "STE 400",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271577",
            "telephone_number": "716-675-5544",
            "fax_number": "716-675-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADEMACKER",
        "first_name": "JEREMY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008352-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION",
            "identifier": "C08352-9",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Joanne Quennell-Kavcic, BSCPT
• Norma Quijada, MD
• Kristin Quinn, LMT
• Maureen Patricia Quinn, LSLP-CCC.
• Matthew Radel
• Jacob Radlich, ATC, LAT
• Gavin C Raffloer
• Joanna Raimonde
• Amy Elizabeth Ramey, PT DPT
• Jamie Randall, LMT

• Chiropractor in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.