JJ & R Chiropractic PC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

X010987 Issued in NY

Legal business name

JJ & R CHIROPRACTIC PC

Practice address

389 Roosevelt Ave
Freeport, NY 11520-6126

Phone

(516) 554-4929

Fax

(718) 205-2245

NPI assigned

Nov 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Robert Gambino, D.C.

Title

President

Phone

(516) 554-4929

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1427384056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 ROOSEVELT AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115206126",
            "telephone_number": "516-554-4929",
            "fax_number": "718-205-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 ROOSEVELT AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115206126",
            "telephone_number": "516-554-4929",
            "fax_number": "718-205-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ & R CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "GAMBINO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-554-4929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "X010987",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "X010987",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "X010987",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Roberta Johashen
• David Johnson
• Gheislyn Layatta Johnson

• Health Maintenance Organization in Freeport, NY
• Providers in Freeport, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.