Organization Active NPI

Jarosz Chiropractic Healing Hands of Cny, P.C.

  • Chiropractor
  • Utica, NY
National Provider Identifier
1912054313
Registry record updated Aug 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011243-1 Issued in NY
Legal business name
JAROSZ CHIROPRACTIC HEALING HANDS OF CNY, P.C.
Practice address
1 Notre Dame LN Ste 3
Utica, NY 13502-4817
Phone
(315) 733-3377
Fax
(315) 733-5024
NPI assigned
Jan 5, 2007
Last updated
Aug 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2008

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

Authorized official

Name
Dr. John R Jarosz Jr., D.C.NPI 1780625079
Title
Owner
Phone
(315) 733-3377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011243-1 NY Primary

Addresses

Primary practice location

1 Notre Dame LN Ste 3
Utica, NY 13502-4817

Mailing address

1 Notre Dame LN Ste 3
Utica, NY 13502-4817
Phone (315) 733-3377

Other identifiers 2

IdentifierTypeStateIssuer
C11243-5WOtherNYWCOMP
P010011243OtherNYBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070605000158 NY Part B Supplier - Clinic/Group Practice 2163520818 Receives reassigned benefits from 1 practitioner
Practice locations: New Hartford, NY; Rome, NY

National Provider Directory

National Provider Directory

Locations

1 Notre Dame Ln
Ste 3
Utica, NY 13502
Phone (315) 733-3377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217721600000",
    "number": "1912054313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NOTRE DAME LN STE 3",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024817",
            "telephone_number": "315-733-3377",
            "fax_number": "315-733-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NOTRE DAME LN STE 3",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024817",
            "telephone_number": "315-733-3377",
            "fax_number": "315-733-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAROSZ CHIROPRACTIC HEALING HANDS OF CNY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-08-03",
        "status": "A",
        "authorized_official_last_name": "JAROSZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-733-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011243-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WCOMP",
            "identifier": "C11243-5W",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P010011243",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.