West Islip PT & Chiropractic PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WEST ISLIP PT & CHIROPRACTIC PLLC

Practice address

1 John St
Babylon, NY 11702-2939

Phone

(844) 301-7832

Fax

(631) 669-6007

NPI assigned

May 23, 2017

Organization subpart

No

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

Authorized official

Name

Jack Tesoriero, DCNPI 1871580282

Title

Owner/Chiropractor

Phone

(844) 301-7832

Specialties & licenses 2

Addresses

Other names 1

• West Islip PTDC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack James Tesoriero, DC

  • Chiropractor
  • Deer Park, NY
  • NPI 1871580282
  NPD (past) Authorized official

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1710414636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291317",
            "telephone_number": "631-242-4500",
            "fax_number": "631-242-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JOHN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022939",
            "telephone_number": "844-301-7832",
            "fax_number": "631-669-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ISLIP PT & CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "TESORIERO",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "844-301-7832",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Islip PTDC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Islip PTDC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Warren Lobo, MD, PC
• Elizabeth Anne Weiburg, LMHC
• Roberta Weisbecker, RN
• Matthew Scott Weitzman, M.S., L.AC.
• Well Within Nutrition
• Aleksandra A Wianecka, O.D.
• Jacek Marian Wiczynski, OTR/L
• Catherine Anne Wieland, NP
• Marjorie Wills, RN
• Matthew Todd Winokur, DC

• Physical Therapist in Babylon, NY
• Providers in Babylon, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; 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.