Active NPI
Jeffrey Joseph Pracella, D.C.
- Sports Physician Chiropractor
- Brewster, NY
National Provider Identifier
1770594772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- X004984-1
- Practice address
- 1525 Route 22
Suite 2
Brewster, NY 10509-4039 - Phone
- (845) 278-6601
- NPI assigned
- Aug 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | X004984-1 | NY | Primary |
Addresses
Primary practice location
1525 Route 22
Suite 2
Brewster, NY 10509-4039
Mailing address
1525 Route 22
Suite 2
Brewster, NY 10509-4039
Phone (845) 278-6601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050309000125 | NY | Practitioner - Chiropractic | 3870547250 | Practice locations: Brewster, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1525 Route 22 4
Brewster, NY 10509-4041
Phone (845) 278-6601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X004984-1 | NY | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770594772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 ROUTE 22",
"address_2": "SUITE 2",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094039",
"telephone_number": "845-278-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 ROUTE 22",
"address_2": "SUITE 2",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094039",
"telephone_number": "845-278-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRACELLA",
"first_name": "JEFFREY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NY",
"license": "X004984-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewster, NY
- Lia A Pitura, OTR/L
- Samantha Joann Placido, RN
- Rosann L Posa, DSW
- Ursula C Potkay
- Elizabeth Anne Potts, MSOT, OTR/L
- Bethany J. Prater, D.O.
- Putnam Bright Smile Dentistry, PC
- Putnam Cardio Pulmonary Services, P.C.
- Putnam County Department of Health
- Putnam County Department of Health, Early Intervention Dept.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.