Active NPI
Benjamin Vincent, DC
- Chiropractor
- Jay, NY
National Provider Identifier
1528158086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010729
- Practice address
- 13036 Nys Rte 9N
Jay, NY 12941 - Phone
- (518) 946-7886
- Fax
- (518) 946-7367
- NPI assigned
- Oct 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X010729 | NY | Primary |
Addresses
Primary practice location
13036 Nys Rte 9N
Jay, NY 12941
Mailing address
1042 Bartlett Rd
Upper Jay, NY 12987-3402
Phone (518) 946-2620
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 |
|---|---|---|---|
| X010729 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosenblum Chiropractic, LLP | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Jay, NY
- NPI 1801986369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528158086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1042 BARTLETT RD",
"city": "UPPER JAY",
"state": "NY",
"postal_code": "129873402",
"telephone_number": "518-946-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13036 NYS RTE 9N",
"city": "JAY",
"state": "NY",
"postal_code": "12941",
"telephone_number": "518-946-7886",
"fax_number": "518-946-7367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "BENJAMIN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jay, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.