Individual provider Active NPI

Jay L Riess, DC

  • Chiropractor
  • Lindenhurst, NY
National Provider Identifier
1710976824
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X - 00337-1 Issued in NY
Practice address
656 N Wellwood Ave
Suite 209a
Lindenhurst, NY 11757-1695
Phone
(631) 226-1313
Fax
(631) 226-1507
NPI assigned
Oct 20, 2005
Last updated
Mar 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X - 00337-1 NY Primary

Addresses

Primary practice location

656 N Wellwood Ave
Suite 209a
Lindenhurst, NY 11757-1695

Mailing address

656 N Wellwood Ave
Ste 209a
Lindenhurst, NY 11757-1695
Phone (631) 226-1313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101113000215 NY Practitioner - Chiropractic 2567657778 Practice locations: Lindenhurst, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

656 N Wellwood Ave
Suite 209a
Lindenhurst, NY 11757-1695

656 No Wellwood Ave
Suite 209a
Lindenhurst, NY 11757-1676
Phone (631) 226-1313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X - 00337-1NYMDChiropractor
003377NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1710976824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 N WELLWOOD AVE",
            "address_2": "STE 209A",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571695",
            "telephone_number": "631-226-1313",
            "fax_number": "631-226-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 N WELLWOOD AVE",
            "address_2": "SUITE 209A",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571695",
            "telephone_number": "631-226-1313",
            "fax_number": "631-226-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESS",
        "first_name": "JAY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X - 00337-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.