Individual provider Active NPI

Thomas M Jusczak, DC

  • Chiropractor
  • Londonderry, NH
National Provider Identifier
1861575128
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6080700 Issued in NH
Practice address
12 Parmenter Rd Unit A3
Londonderry, NH 03053-3200
Phone
(603) 434-4196
Fax
(603) 434-3165
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6080700 NH Primary

Addresses

Primary practice location

12 Parmenter Rd Unit A3
Londonderry, NH 03053-3200

Mailing address

12 Parmenter Rd Unit A3
Londonderry, NH 03053-3200
Phone (603) 434-4196

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060113000381 NH Practitioner - Chiropractic 6507889763 Practice locations: Londonderry, NH

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 Parmenter Rd
A3
Londonderry, NH 03053-3200
Phone (603) 434-4196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6080700NHMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1861575128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PARMENTER RD UNIT A3",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533200",
            "telephone_number": "603-434-4196",
            "fax_number": "603-434-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PARMENTER RD UNIT A3",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533200",
            "telephone_number": "603-434-4196",
            "fax_number": "603-434-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSCZAK",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "6080700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.