Jeremy Todd, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011655 Issued in NY

Practice address

4454 Austin BVLD
Island Park, NY 11558

Phone

(516) 432-2100

Fax

(516) 431-5835

NPI assigned

Jun 26, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Vatra Spina and Sport LLC

  • Chiropractor
  • Island Park, NY
  • NPI 1568935120
  NPD (past) Authorized official
• Next Step Physical Therapy, PLLC

  • Physical Therapist
  • Hicksville, NY
  • NPI 1437348430
  NPD (past)

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1376925255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4454 AUSTIN BVLD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "11558",
            "telephone_number": "516-432-2100",
            "fax_number": "516-431-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4454 AUSTIN BVLD",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "11558",
            "telephone_number": "516-432-2100",
            "fax_number": "516-431-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conchita Solomon, OTR/L
• South Island Family Medical, LLC
• Karen Tabin
• James Vincent Thorne, DDS
• Kimberly Timm
• Robert Traut, C.P.
• U.S. Med Supply Corp.
• Vimla P. Vadhan, PH.D.
• Michael Vanchieri, DC
• Vatra Spina and Sport LLC

• Chiropractor in Island Park, NY
• Providers in Island 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 Jun 26, 2015; 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.