Organization Active NPI

Jeffrey Nazar D.C., P.C.

  • Chiropractor
  • Riverhead, NY
National Provider Identifier
1477832863
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JEFFREY NAZAR D.C., P.C.
Practice address
189 Main Rd
Suite a
Riverhead, NY 11901-1957
Phone
(631) 369-4323
Fax
(631) 369-4325
NPI assigned
Aug 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Dr. Jeffrey Nazar, DC
Title
Owner
Phone
(631) 369-4323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

189 Main Rd
Suite a
Riverhead, NY 11901-1957

Mailing address

189 Main Rd Ste a
Riverhead, NY 11901-1957
Phone (631) 369-4323

National Provider Directory

National Provider Directory

Locations

189 Main Rd
Ste A
Riverhead, NY 11901
Phone (631) 369-4323

189 Main Rd
Riverhead, NY 11901
Phone (631) 288-7120

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1477832863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 MAIN RD STE A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011957",
            "telephone_number": "631-369-4323",
            "fax_number": "631-369-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 MAIN RD",
            "address_2": "SUITE A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119011957",
            "telephone_number": "631-369-4323",
            "fax_number": "631-369-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY NAZAR D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "NAZAR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-369-4323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.