Individual provider Active NPI

Jason Cerutti, D.C.

  • Chiropractor
  • Hudson, OH
National Provider Identifier
1730123654
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00531300 Issued in NJ
Practice address
10000 Aurora Hudson Rd
Suite B
Hudson, OH 44236
Phone
(234) 380-5351
Fax
(234) 380-5710
NPI assigned
Jun 15, 2006
Last updated
Jul 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00531300 NJ Primary

Addresses

Primary practice location

10000 Aurora Hudson Rd
Suite B
Hudson, OH 44236

Mailing address

10000 Aurora Hudson Rd
Suite B
Hudson, OH 44236
Phone (234) 380-5351

Other identifiers 3

IdentifierTypeStateIssuer
2281868OtherAETNA US HEALTHCARE
0177689000OtherAMERIHEALTH HMO POS
9074264OtherPIN PHCS

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
4779OHMDClinical Neuropsychologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1730123654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 AURORA HUDSON RD",
            "address_2": "SUITE B",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44236",
            "telephone_number": "234-380-5351",
            "fax_number": "234-380-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 AURORA HUDSON RD",
            "address_2": "SUITE B",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "44236",
            "telephone_number": "234-380-5351",
            "fax_number": "234-380-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERUTTI",
        "first_name": "JASON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00531300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2281868",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO POS",
            "identifier": "0177689000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN PHCS",
            "identifier": "9074264",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.