Active NPI
Healthsource of Brooklyn
- Chiropractor
- Brooklyn, OH
National Provider Identifier
1689825754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- HEALTHSOURCE OF BROOKLYN
- Practice address
- 4370 Ridge Rd
Brooklyn, OH 44144-2717 - Phone
- (440) 967-4226
- Fax
- (440) 967-0296
- NPI assigned
- Oct 7, 2008
- Last updated
- Oct 7, 2008
- 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
- Dr. Maziar Nejad, D.C.
- Title
- President
- Phone
- (440) 967-4226
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary | |
| Physical Therapist | 225100000X | NU |
Addresses
Primary practice location
4370 Ridge Rd
Brooklyn, OH 44144-2717
Mailing address
PO Box 740
Vermilion, OH 44089-0740
Phone (440) 967-4226
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Vermilion, OH
- NPI 1114035185
-
- Physical Therapist
- Pittsburgh, PA
- NPI 1295841716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223337600000",
"number": "1689825754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740",
"city": "VERMILION",
"state": "OH",
"postal_code": "440890740",
"telephone_number": "440-967-4226",
"fax_number": "440-967-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 RIDGE RD",
"city": "BROOKLYN",
"state": "OH",
"postal_code": "441442717",
"telephone_number": "440-967-4226",
"fax_number": "440-967-0296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHSOURCE OF BROOKLYN",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-07",
"last_updated": "2008-10-07",
"status": "A",
"authorized_official_last_name": "NEJAD",
"authorized_official_first_name": "MAZIAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "440-967-4226",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.