Individual provider Active NPI

Jeff J Mollins, D.C.

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1689875684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X035412 Issued in NY
Practice address
189 Montague St
#920
Brooklyn, NY 11201-3610
Phone
(718) 802-0800
Fax
(718) 625-4459
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
Yes

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 X035412 NY Primary

Addresses

Primary practice location

189 Montague St
#920
Brooklyn, NY 11201-3610

Mailing address

189 Montague St
#920
Brooklyn, NY 11201-3610
Phone (718) 802-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X035412NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Medical Services of Ny, PC PastSince May 25, 2021 Accepting new patients
Neurodiagnostics Medical P.C. PastSince Jul 4, 2021 Accepting new patients

Organizations & group practices 2

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689875684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 MONTAGUE ST",
            "address_2": "#920",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013610",
            "telephone_number": "718-802-0800",
            "fax_number": "718-625-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 MONTAGUE ST",
            "address_2": "#920",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013610",
            "telephone_number": "718-802-0800",
            "fax_number": "718-625-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLINS",
        "first_name": "JEFF",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X035412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.