Active NPI
Jennifer Elsholz, D.C.
- Chiropractor
- Coram, NY
National Provider Identifier
1396921276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 011495
- Practice address
- 999 Old Town Rd
Coram, NY 11727-1853 - Phone
- (631) 331-5353
- Fax
- (631) 698-1379
- NPI assigned
- Jan 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 011495 | NY | Primary |
Addresses
Primary practice location
999 Old Town Rd
Coram, NY 11727-1853
Mailing address
999 Old Town Rd
Coram, NY 11727-1853
Phone (631) 331-5353
Other names 1
- Dr. Jennifer Beck
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080318000321 | NY | Practitioner - Chiropractic | 8325124225 | Practice locations: Miller Place, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
85 Echo Ave
Suite 4
Miller Place, NY 11764-2200
Phone (631) 331-5353
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011495 | NY | MD | Local Education Agency (LEA) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Island Medical, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- New Hyde Park, NY
- NPI 1548292956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1396921276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 OLD TOWN RD",
"city": "CORAM",
"state": "NY",
"postal_code": "117271853",
"telephone_number": "631-331-5353",
"fax_number": "631-698-1379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 OLD TOWN RD",
"city": "CORAM",
"state": "NY",
"postal_code": "117271853",
"telephone_number": "631-331-5353",
"fax_number": "631-698-1379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSHOLZ",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-10",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "011495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "BECK",
"prefix": "DR.",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coram, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.