NPIMap

Organization Active NPI

East Avenue Chiropractic P.C.

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1396015442
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0011951 Issued in NY
Legal business name
EAST AVENUE CHIROPRACTIC P.C.
Practice address
1641 East Ave Ste B
Rochester, NY 14610-1616
Phone
(585) 473-7746
Fax
(585) 473-7745
NPI assigned
Jan 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Dr. Joshua Benjamin Rittenberg, D.C.
Title
Owner/President
Phone
(585) 473-7746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X0011951 NY Primary

Addresses

Primary practice location

1641 East Ave Ste B
Rochester, NY 14610-1616

Mailing address

1641 East Ave Ste B
Rochester, NY 14610-1616
Phone (585) 473-7746

National Provider Directory

National Provider Directory

Locations

1641 East Ave
Ste B
Rochester, NY 14610
Phone (585) 473-7746

Practitioners & affiliated clinicians

Practitioners 3

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": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1396015442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 EAST AVE STE B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101616",
            "telephone_number": "585-473-7746",
            "fax_number": "585-473-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 EAST AVE STE B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101616",
            "telephone_number": "585-473-7746",
            "fax_number": "585-473-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST AVENUE CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "RITTENBERG",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "585-473-7746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0011951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.