Jeffrey Stewart Washburn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008245 Issued in NY

Practice address

20817 Jamaica Ave
Queens Village, NY 11428-1546

Phone

(718) 465-4500

Fax

(718) 479-6754

NPI assigned

Jan 2, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Five Towns Total Medical Care, P.C.

  • Specialist
  • Lawrence, NY
  • NPI 1851319305
  NPD (past)

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699753566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20817 JAMAICA AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281546",
            "telephone_number": "718-465-4500",
            "fax_number": "718-479-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20817 JAMAICA AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281546",
            "telephone_number": "718-465-4500",
            "fax_number": "718-479-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "JEFFREY",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Eastern Co Inc (Walgreens #02055)
• Rayshell Walker
• Adriene Jill Wall, LMSW
• Arpana Walter, RPH
• Anthea Wan, PHARM D
• Gail Weinberg, M.A., C.C.C.-S.L.P.
• Gary Weinberg, RPH
• Cassandra Weingarten, ATR-BC, LCAT
• Doreen E Weinstein, LCSW-R
• Wellmart RX, Inc.

• Chiropractor in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.