Active NPI
Josh Wagner, DC
- Chiropractor
- New York, NY
National Provider Identifier
1730498783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 011928
- Practice address
- 19 E 71St St
Suite 5a
New York, NY 10021-4119 - Phone
- (843) 323-8853
- NPI assigned
- Sep 24, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 011928 | NY | Primary |
Addresses
Primary practice location
19 E 71St St
Suite 5a
New York, NY 10021-4119
Mailing address
19 E 71St St
Suite 5a
New York, NY 10021-4119
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011928 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285286400000",
"number": "1730498783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 E 71ST ST",
"address_2": "SUITE 5A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 E 71ST ST",
"address_2": "SUITE 5A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100214119",
"telephone_number": "843-323-8853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "JOSH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-24",
"last_updated": "2010-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "011928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.