NPIMap

Organization Active NPI

Back to Health Medicine and Diagnostics

  • Chiropractor
  • Pleasant Valley, NY
National Provider Identifier
1386709178
Registry record updated Sep 10, 2008
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Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008697 Issued in NY
Legal business name
BACK TO HEALTH MEDICINE AND DIAGNOSTICS
Practice address
1395 Route 44
Pleasant Valley, NY 12569-7830
Phone
(845) 635-5002
Fax
(845) 635-5295
NPI assigned
Dec 22, 2006
Organization subpart
Yes
Parent organization
BACK TO HEALTH MEDICINE AND DIAGNOSTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Dr. Jay Raymond Decesare, DC
Title
Manager
Phone
(845) 635-5002

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X X008697 NY Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X X0068561 NY
Otology & Neurotology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0901X 147245 NY
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 014665-1 NY
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 025281-1 NY

Addresses

Primary practice location

1395 Route 44
Pleasant Valley, NY 12569-7830

Mailing address

PO Box 550
Pleasant Valley, NY 12569-0550
Phone (845) 635-5002

National Provider Directory

National Provider Directory
Part of
Back to Health Med and Diag

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1386709178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125690550",
            "telephone_number": "845-635-5002",
            "fax_number": "845-635-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 ROUTE 44",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125697830",
            "telephone_number": "845-635-5002",
            "fax_number": "845-635-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH MEDICINE AND DIAGNOSTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BACK TO HEALTH MEDICINE AND DIAGNOSTICS",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "DECESARE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-635-5002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008697",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0068561",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "NY",
            "license": "147245",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014665-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025281-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.