Active NPI
Jay Wittgreen-Negron, D.C.
- Chiropractor
- Carolina, PR
National Provider Identifier
1881827467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 644
- Practice address
- Edificio Cecilia'S Place - Calle Rosa #7
Suite C-1 2DO Piso Suite a
Carolina, PR 00979 - Phone
- (787) 379-7200
- NPI assigned
- Aug 28, 2009
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 644 | PR | Primary |
Addresses
Primary practice location
Edificio Cecilia'S Place - Calle Rosa #7
Suite C-1 2DO Piso Suite a
Carolina, PR 00979
Mailing address
PO Box 79757
Carolina, PR 00984-9757
Phone (787) 421-3751
Other names 1
- Dr. Jay Wittgreen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240229004488 | PR | Practitioner - Chiropractic | 0446512412 | Practice locations: Carolina, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
150 Ave Los Gobernadores
Suite 200
Carolina, PR 00979-7079
Phone (787) 421-3751
Calle Rosa
7 Suite C 1 2DO Piso
Carolina, PR 00979
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 644 | PR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Spine Chiropractic, P.a. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Fort Lauderdale, FL
- NPI 1932577160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1881827467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 79757",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009849757",
"telephone_number": "787-421-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EDIFICIO CECILIA'S PLACE - CALLE ROSA #7",
"address_2": "SUITE C-1 2DO PISO SUITE A",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00979",
"telephone_number": "787-379-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITTGREEN-NEGRON",
"first_name": "JAY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-28",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PR",
"license": "644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAY",
"last_name": "WITTGREEN",
"prefix": "DR.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.