Individual provider Active NPI

Jonathan H Tepper, DC

  • Chiropractor
  • Westbury, NY
National Provider Identifier
1679636005
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0026991 Issued in NY
Practice address
959 Brush Hollow Road
Westbury, NY 11590-1778
Phone
(516) 334-8877
Fax
(516) 334-9647
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0026991 NY Primary

Addresses

Primary practice location

959 Brush Hollow Road
Westbury, NY 11590-1778

Mailing address

959 Brush Hollow Road
Westbury, NY 11590-1778
Phone (516) 334-8877

Other identifiers 1

IdentifierTypeStateIssuer
02157564MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120131000404 NY Practitioner - Chiropractic 6507023736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

959 Brush Hollow Rd
Westbury, NY 11590-1770
Phone (516) 334-8877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0026991NYMDChiropractor
002699NYMDDance Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tepper Chiropractic DC Chiropractor CurrentSince Jul 1, 1991 Accepting new patients

Locations

959 Brush Hollow Rd
Ste 105
Westbury, NY 11590
Phone (516) 334-8877

959 Brush Hollow Rd
Westbury, NY 11590
Phone (516) 333-3033

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679636005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 BRUSH HOLLOW ROAD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901778",
            "telephone_number": "516-334-8877",
            "fax_number": "516-334-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 BRUSH HOLLOW ROAD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901778",
            "telephone_number": "516-334-8877",
            "fax_number": "516-334-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEPPER",
        "first_name": "JONATHAN",
        "middle_name": "H",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0026991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02157564",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.