Active NPI
Jupiter Chiropractic P.C.
- Chiropractor
- Brooklyn, NY
National Provider Identifier
1528255734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X011038
- Legal business name
- JUPITER CHIROPRACTIC P.C.
- Practice address
- 581 5TH Ave
Brooklyn, NY 11215-8407 - Phone
- (718) 965-0555
- Fax
- (718) 965-0558
- NPI assigned
- Oct 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rodion Latman, D.C.
- Title
- President
- Phone
- (917) 648-5523
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X011038 | NY | Primary |
Addresses
Primary practice location
581 5TH Ave
Brooklyn, NY 11215-8407
Mailing address
2448 E 71St St
Brooklyn, NY 11234-6514
Phone (917) 648-5523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
88 Seigel St
Brooklyn, NY 11206
Phone (718) 388-5770
6911 Fort Hamilton Pkwy
Brooklyn, NY 11228
Phone (718) 238-9392
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Brooklyn, NY
- NPI 1598955395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404172800000",
"number": "1528255734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2448 E 71ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346514",
"telephone_number": "917-648-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "581 5TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112158407",
"telephone_number": "718-965-0555",
"fax_number": "718-965-0558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUPITER CHIROPRACTIC P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-02",
"last_updated": "2014-07-01",
"status": "A",
"authorized_official_last_name": "LATMAN",
"authorized_official_first_name": "RODION",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-648-5523",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "X011038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.