Individual provider Active NPI

James Andrew Hinsch, CHIROPRACTOR

  • Chiropractor
  • Mattituck, NY
National Provider Identifier
1831244391
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005223 Issued in NY
Practice address
14825 Main Road
Mattituck, NY 11952
Phone
(631) 298-5333
Fax
(631) 298-1304
NPI assigned
Jan 24, 2007
Last updated
Oct 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X005223 NY Primary

Addresses

Primary practice location

14825 Main Road
Mattituck, NY 11952

Mailing address

PO Box 1177
PO Box 1177
Mattituck, NY 11952-0921
Phone (631) 298-5333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071127000284 NY Practitioner - Chiropractic 9830175991 Practice locations: Mattituck, NY; Staten Island, NY; Shelter Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14825 Main Rd
Mattituck, NY 11952-2327
Phone (631) 298-5333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X005223NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1831244391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1177",
            "address_2": "PO BOX 1177",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119520921",
            "telephone_number": "631-298-5333",
            "fax_number": "631-298-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 MAIN ROAD",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "11952",
            "telephone_number": "631-298-5333",
            "fax_number": "631-298-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINSCH",
        "first_name": "JAMES",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "CHIROPRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattituck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.