Individual provider Active NPI

Jay Wittgreen-Negron, D.C.

  • Chiropractor
  • Carolina, PR
National Provider Identifier
1881827467
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
644 Issued in PR
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

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
644PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.