Organization Active NPI

JRJ Chiropractic P.C.

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1417267568
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11168 Issued in NY
Legal business name
JRJ CHIROPRACTIC P.C.
Practice address
255 E 98TH St
Brooklyn, NY 11212-8817
Phone
(718) 240-2644
Fax
(718) 240-2676
NPI assigned
Oct 7, 2010
Last updated
Oct 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Brian Bak, D.C.
Title
President
Phone
(917) 715-9059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11168 NY Primary

Addresses

Primary practice location

255 E 98TH St
Brooklyn, NY 11212-8817

Mailing address

24804 Cambria Ave
Little Neck, NY 11362-1230

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1417267568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24804 CAMBRIA AVE",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E 98TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112128817",
            "telephone_number": "718-240-2644",
            "fax_number": "718-240-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRJ CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-715-9059",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "11168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.