Active NPI
Avianne Waithe, D.C.
- Chiropractor
- Jackson Heights, NY
National Provider Identifier
1518366376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00711200
- Practice address
- 3723 72ND St FL 1
Jackson Heights, NY 11372-6126 - Phone
- (443) 622-9429
- Fax
- (888) 573-3898
- NPI assigned
- Aug 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 38MC00711200 | NJ | |
| Pediatric Chiropractor | 111NP0017X | 38MC00711200 | NJ | |
| Rehabilitation Chiropractor | 111NR0400X | X013232 | NY | |
| Chiropractor | 111N00000X | 38MC00711200 | NJ | Primary |
Addresses
Primary practice location
3723 72ND St FL 1
Jackson Heights, NY 11372-6126
Mailing address
3723 72ND St FL 1
Jackson Heights, NY 11372-6126
Phone (443) 622-9429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X013232 | NY | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Injury Chiropractic Rehab PC | Rehabilitation | Current | Accepting new patients |
| New York Injury Chiropractic Rehab PC | Rehabilitation | Current | Accepting new patients |
| Vitamed Family Practice | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Chiropractor
- Jackson Heights, NY
- NPI 1295416618
-
- Rehabilitation Chiropractor
- Montclair, NJ
- NPI 1063085181
-
- Adolescent Medicine (Family Medicine) Physician
- Jersey City, NJ
- NPI 1962575167
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1518366376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3723 72ND ST FL 1",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726126",
"telephone_number": "443-622-9429",
"fax_number": "888-573-3898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3723 72ND ST FL 1",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113726126",
"telephone_number": "443-622-9429",
"fax_number": "888-573-3898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITHE",
"first_name": "AVIANNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-18",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NJ",
"license": "38MC00711200",
"primary": false
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "NJ",
"license": "38MC00711200",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "NY",
"license": "X013232",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00711200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.