Organization Active NPI

East Hills Chiropractic, PLLC

  • Chiropractor
  • Roslyn Heights, NY
National Provider Identifier
1639526205
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EAST HILLS CHIROPRACTIC, PLLC
Practice address
118 Crescent LN
Roslyn Heights, NY 11577-1552
Phone
(516) 626-1305
Fax
(718) 628-5300
NPI assigned
May 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Dr. Jason S Brattner, D.C.NPI 1053486167
Title
Owner
Phone
(516) 626-1305

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X NY Primary

Addresses

Primary practice location

118 Crescent LN
Roslyn Heights, NY 11577-1552

Mailing address

118 Crescent LN
Roslyn Heights, NY 11577-1552
Phone (516) 626-1305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170126000263 NY Part B Supplier - Clinic/Group Practice 4486936507 Receives reassigned benefits from 1 practitioner
Practice locations: Roslyn Heights, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1639526205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CRESCENT LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771552",
            "telephone_number": "516-626-1305",
            "fax_number": "718-628-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CRESCENT LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771552",
            "telephone_number": "516-626-1305",
            "fax_number": "718-628-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HILLS CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "BRATTNER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-626-1305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.