Organization Active NPI

Paez Chiropractic, P.C.

  • Chiropractor
  • Newburgh, NY
National Provider Identifier
1487986923
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008227-1 Issued in NY
Legal business name
PAEZ CHIROPRACTIC, P.C.
Practice address
1450 Route 300 Ste 103
Newburgh, NY 12550-2688
Phone
(845) 567-0300
Fax
(845) 567-0380
NPI assigned
Feb 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Dr. Fernando Paez, D.C.NPI 1013089614
Title
President
Phone
(845) 567-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X008227-1 NY Primary

Addresses

Primary practice location

1450 Route 300 Ste 103
Newburgh, NY 12550-2688

Mailing address

1450 Route 300 Ste 103
Newburgh, NY 12550-2688
Phone (845) 567-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100217000284 NY Part B Supplier - Clinic/Group Practice 2769526540 Receives reassigned benefits from 1 practitioner
Practice locations: Newburgh, NY

National Provider Directory

National Provider Directory

Locations

1450 Route 300
Ste 103
Newburgh, NY 12550
Phone (845) 567-0300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1487986923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ROUTE 300 STE 103",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502688",
            "telephone_number": "845-567-0300",
            "fax_number": "845-567-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ROUTE 300 STE 103",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502688",
            "telephone_number": "845-567-0300",
            "fax_number": "845-567-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAEZ CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "PAEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-567-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008227-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

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