Active NPI
Jan Dweck, DC RN
- Registered Nurse
- Suffern, NY
National Provider Identifier
1376702159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 640847
- Practice address
- 5 Claremont LN
Suffern, NY 10901-7011 - Phone
- (845) 368-3987
- NPI assigned
- Jun 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8631 | NY | |
| Sports Physician Chiropractor | 111NS0005X | 8631 | NY | |
| Registered Nurse | 163W00000X | 640847 | NY | Primary |
Addresses
Primary practice location
5 Claremont LN
Suffern, NY 10901-7011
Mailing address
53 Tranquility Rd
Suffern, NY 10901
Phone (917) 596-0818
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8631 | NY | MD | Chiropractor |
| 640847 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1376702159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 TRANQUILITY RD",
"city": "SUFFERN",
"state": "NY",
"postal_code": "10901",
"telephone_number": "917-596-0818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CLAREMONT LN",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109017011",
"telephone_number": "845-368-3987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWECK",
"first_name": "JAN",
"name_prefix": "Mr.",
"credential": "DC RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-05",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "8631",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NY",
"license": "8631",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "640847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.