Active NPI
Chiropractic Wellness of Jericho PC
- Chiropractor
- Jericho, NY
National Provider Identifier
1629949458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CHIROPRACTIC WELLNESS OF JERICHO PC
- Practice address
- 99 Jericho Tpke Ste 100
Jericho, NY 11753-1015 - Phone
- (516) 307-8101
- NPI assigned
- Sep 15, 2025
- 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
- Scott Mark
- Title
- Doctor
- Phone
- (917) 574-9685
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
99 Jericho Tpke Ste 100
Jericho, NY 11753-1015
Mailing address
99 Jericho Tpke Ste 100
Jericho, NY 11753-1015
Phone (516) 307-8101
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- New York, NY
- NPI 1164535290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757894400000",
"number": "1629949458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 JERICHO TPKE STE 100",
"city": "JERICHO",
"state": "NY",
"postal_code": "117531015",
"telephone_number": "516-307-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 JERICHO TPKE STE 100",
"city": "JERICHO",
"state": "NY",
"postal_code": "117531015",
"telephone_number": "516-307-8101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC WELLNESS OF JERICHO PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-15",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A",
"authorized_official_last_name": "MARK",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "917-574-9685"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jericho, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.