Jayne Kwiatkowski LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH9417 Issued in FL

Legal business name

JAYNE KWIATKOWSKI LLC

Practice address

1414 W Granada Blvd Ste 3
Ormond Beach, FL 32174-8104

Phone

(386) 872-5323

NPI assigned

Jul 28, 2014

Last updated

Feb 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jayne Kwiatkowski, DCNPI 1588850218

Title

Owner/MGR

Phone

(386) 872-5323

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jayne Marie Kwiatkowski, DC

  • Chiropractor
  • New Smyrna Beach, FL
  • NPI 1588850218
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1427466051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W GRANADA BLVD STE 3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748104",
            "telephone_number": "386-872-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W GRANADA BLVD STE 3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748104",
            "telephone_number": "386-872-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYNE KWIATKOWSKI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "KWIATKOWSKI",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_title_or_position": "OWNER/MGR",
        "authorized_official_telephone_number": "386-872-5323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH9417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashwini Jasutkar
• Javier Farach MD, PA
• Jay a Keesling OD PA (20 20 Vision Center)
• Jay a Keesling OD PA (20 20 Vision Center)
• Jayne Kwiatkowski LLC (Tomoka Spine and Posture Institute)
• Wenisha Jean
• Jean-Claude Jeanty, M.D.
• Demeshanique Jefferson
• Jeffrey Demercurio MD PA (Florida Center for Plastic and Cosmetic Surgery)
• Jeffrey T Newfield DO PA (Newfield Orthopedics)

• Clinic/Center in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.