J & M Pro P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2886 Issued in MA

Legal business name

J & M PRO P.C.

Practice address

25 School St
Suite B-2
Quincy, MA 02169-6607

Phone

(617) 689-0440

Fax

(617) 689-0420

NPI assigned

Jul 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jay Provenzano, D.C.NPI 1114095304

Title

President

Phone

(617) 689-0440

Specialties & licenses 1

Addresses

Other names 1

• Community Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay A Provenzano, D.C.

  • Chiropractor
  • Quincy, MA
  • NPI 1114095304
  Medicare reassignment Authorized official
• Shayne Fryia, DC

  • Chiropractor
  • Quincy, MA
  • NPI 1871391425
  Medicare reassignment NPD

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1457514853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SCHOOL ST",
            "address_2": "SUITE B-2",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696607",
            "telephone_number": "617-689-0440",
            "fax_number": "617-689-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SCHOOL ST",
            "address_2": "SUITE B-2",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021696607",
            "telephone_number": "617-689-0440",
            "fax_number": "617-689-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & M PRO P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "PROVENZANO",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-689-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith Toby Israel, APRN BC
• Ivana Adamov DDS, PC
• Ivy Care & Wellness LLC
• Cynthia C Iwunze, NURSE PRACTITIONER
• Irina Izovskaya
• J B Rehabilitation Associates, Inc.
• J.B. Rehabilitation Associates, Inc
• Wendy -Ann Jack - Singh, R.N.
• Marguerite L Jackson
• Marsha C Jackson, LICSW

• Chiropractor in Quincy, MA
• Providers in Quincy, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.