Organization Active NPI

Jeffrey Edward Poplarski DC LLC

  • Chiropractor
  • Amityville, NY
National Provider Identifier
1649353228
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JEFFREY EDWARD POPLARSKI DC LLC
Practice address
217 Merrick Rd
Suite 204
Amityville, NY 11701-3449
Phone
(631) 598-7034
Fax
(631) 598-7479
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeffrey Edward Poplarski, DC LLCNPI 1164520102
Title
President/Chiropractor
Phone
(631) 598-7034

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 Primary

Addresses

Primary practice location

217 Merrick Rd
Suite 204
Amityville, NY 11701-3449

Mailing address

PO Box 477
Amityville, NY 11701-0477
Phone (631) 598-7035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070116000118 NY Part B Supplier - Clinic/Group Practice 0547261638 Receives reassigned benefits from 1 practitioner
Practice locations: Amityville, NY

National Provider Directory

National Provider Directory

Locations

217 Merrick Rd
Ste 204
Amityville, NY 11701
Phone (631) 598-7033

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649353228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117010477",
            "telephone_number": "631-598-7035",
            "fax_number": "631-598-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MERRICK RD",
            "address_2": "SUITE 204",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013449",
            "telephone_number": "631-598-7034",
            "fax_number": "631-598-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY EDWARD POPLARSKI DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POPLARSKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "631-598-7034",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC LLC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.