Individual provider Active NPI

Roberta D Jaeger, D.C.

  • Chiropractor
  • Hempstead, NY
National Provider Identifier
1629114731
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
009261 Issued in NY
Practice address
269 Fulton Ave
Hempstead, NY 11550-3947
Phone
(516) 537-7700
NPI assigned
Jan 29, 2007
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2348 MA
Chiropractor 111N00000X 009261 NY Primary

Addresses

Primary practice location

269 Fulton Ave
Hempstead, NY 11550-3947

Mailing address

963 Hastings St
Baldwin, NY 11510-4737
Phone (508) 395-7938

Other identifiers 7

IdentifierTypeStateIssuer
352291OtherMAHARVARD PLIGRIM HEALTH PL
468521OtherMATUFTS HEALTH PLAN
0027885OtherMANEIGHBORHOOD HEALTH PLAN
1601067MedicaidMA
97718801OtherMANETWORK HEALTH
2554325OtherMAAETNA HEALTH PLAN
Y36673OtherMABCBS OF MASSACHUSETTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180515000383 NY Practitioner - Chiropractic 9032129812 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Chiropractic Healthcare Chiropractor CurrentSince Mar 26, 2018 Accepting new patients
Fulton Avenue Chiropractic and Physical Therapy, PLLC Chiropractor CurrentSince Aug 3, 2025 Accepting new patients
Stefos & Associates, LLC Chiropractor PastSince Jan 4, 2000 Accepting new patients
Helping Hands Family Chiropractic and Rehabilitation, LLC Chiropractor Past Accepting new patients

Locations

901 Stewart Ave
Ste 285
Garden City, NY 11530
Phone (516) 742-5715

269 Fulton Ave
Hempstead, NY 11550
Phone (516) 537-7700

Organizations & group practices 4

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1629114731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 HASTINGS ST",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104737",
            "telephone_number": "508-395-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503947",
            "telephone_number": "516-537-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "ROBERTA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2348",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "009261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PLIGRIM HEALTH PL",
            "identifier": "352291",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "468521",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0027885",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1601067",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "97718801",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLAN",
            "identifier": "2554325",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASSACHUSETTS",
            "identifier": "Y36673",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.

Verify at the official NPI Registry.