Active NPI
Johanne M. Judd, D.C.
- Chiropractor
- Sayville, NY
National Provider Identifier
1871710210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X008350
- Practice address
- 229 Railroad Ave
Suite 4
Sayville, NY 11782-2719 - Phone
- (631) 567-7807
- Fax
- (631) 567-7833
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X008350 | NY | Primary |
Addresses
Primary practice location
229 Railroad Ave
Suite 4
Sayville, NY 11782-2719
Mailing address
229 Railroad Ave Ste 4
Sayville, NY 11782-2719
Phone (631) 567-7807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080926000264 | NY | Practitioner - Chiropractic | 5890862254 | Practice locations: Sayville, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
229 Railroad Ave
Sayville, NY 11782-2719
Phone (631) 567-7807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X008350 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1871710210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 RAILROAD AVE STE 4",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117822719",
"telephone_number": "631-567-7807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 RAILROAD AVE",
"address_2": "SUITE 4",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117822719",
"telephone_number": "631-567-7807",
"fax_number": "631-567-7833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUDD",
"first_name": "JOHANNE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X008350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sayville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.