MLJ Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009276 Issued in NY

Legal business name

MLJ CHIROPRACTIC P.C.

Practice address

2270 Grand Ave
Baldwin, NY 11510-3163

Phone

(516) 379-0000

Fax

(516) 379-7919

NPI assigned

Oct 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Marc L Jacobs, D.C.

Title

President

Phone

(516) 679-0000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1396998142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103163",
            "telephone_number": "516-379-0000",
            "fax_number": "516-379-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103163",
            "telephone_number": "516-379-0000",
            "fax_number": "516-379-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLJ CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-679-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Erica Millwood
• Douglas Scott Milman, PH.D.
• Alanna Minecci
• Louise A. Mini, PH.D.
• Jennifer Patricia Mitchell, MD
• Matthew Moderno, LMT
• Jasmine Mombrun
• Mommy&Me Perinatalservices
• Carole Marie Mondesir, FNP
• Leroy V Monroe, PH.D.

• Chiropractor in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.