Vatra Spina and Sport LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

VATRA SPINA AND SPORT LLC

Practice address

4454 Austin BVLD.
Island Park, NY 11558-1155

Phone

(516) 432-2100

NPI assigned

Jan 7, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Todd, DCNPI 1376925255

Title

Owner

Phone

(516) 432-2100

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jeremy Todd, DC

  • Chiropractor
  • Island Park, NY
  • NPI 1376925255
  NPD (past) Authorized official
• Anita Antonia Gulic, DC

  • Chiropractor
  • Island Park, NY
  • NPI 1962977546
  NPD (past)

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1568935120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4454 AUSTIN BVLD.",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "11558",
            "telephone_number": "516-432-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4454 AUSTIN BVLD.",
            "city": "ISLAND PARK",
            "state": "NY",
            "postal_code": "115581155",
            "telephone_number": "516-432-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VATRA SPINA AND SPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-432-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Todd, DC
• Robert Traut, C.P.
• U.S. Med Supply Corp.
• Vimla P. Vadhan, PH.D.
• Michael Vanchieri, DC
• Deanna Viola
• Susan Wagner
• Arielle Weinstein
• Debra Fischer Weinstein, D.D.S.
• Mark Weinstein, D.D.S

• Chiropractor in Island Park, NY
• Providers in Island Park, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.