Active NPI
Suzanne Jayne Kirby, DC
- Chiropractor
- Sag Harbor, NY
National Provider Identifier
1841325628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X0049471
- Practice address
- 3334 Noyac Rd
Sag Harbor, NY 11963 - Phone
- (631) 725-3398
- Fax
- (631) 725-6302
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- 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 | X0049471 | NY | Primary |
Addresses
Primary practice location
3334 Noyac Rd
Sag Harbor, NY 11963
Mailing address
PO Box 1448
Sag Harbor, NY 11963
Phone (631) 725-3398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050309000840 | NY | Practitioner - Chiropractic | 6507836012 | Practice locations: Sag Harbor, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
34 Bay St
Sag Harbor, NY 11963-3104
Phone 63172533985
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X0049471 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841325628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1448",
"city": "SAG HARBOR",
"state": "NY",
"postal_code": "11963",
"telephone_number": "631-725-3398",
"fax_number": "631-725-6302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3334 NOYAC RD",
"city": "SAG HARBOR",
"state": "NY",
"postal_code": "11963",
"telephone_number": "631-725-3398",
"fax_number": "631-725-6302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "SUZANNE",
"middle_name": "JAYNE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X0049471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sag Harbor, NY
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.