Individual provider Active NPI

Mark Christopher Yaiser, D.C.

  • Rehabilitation Chiropractor
  • New York, NY
National Provider Identifier
1629109392
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
XO10026 Issued in NY
Practice address
311 W 43Rd St
Suite 1101
New York, NY 10036-6413
Phone
(212) 315-1412
Fax
(212) 315-1442
NPI assigned
Mar 7, 2007
Last updated
Jun 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X XO10026 NY Primary

Addresses

Primary practice location

311 W 43Rd St
Suite 1101
New York, NY 10036-6413

Mailing address

311 W 43Rd St
#1101
New York, NY 10036-6413
Phone (212) 315-1412

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

LicenseStateTypeSpecialty
XO10026NYMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
43Rd St. Physical Medicine and Rehabilitation, PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1629109392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 43RD ST",
            "address_2": "#1101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366413",
            "telephone_number": "212-315-1412",
            "fax_number": "212-315-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 43RD ST",
            "address_2": "SUITE 1101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366413",
            "telephone_number": "212-315-1412",
            "fax_number": "212-315-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAISER",
        "first_name": "MARK",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "XO10026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.