Individual provider Active NPI

Jason Braithwaite, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1952448169
Registry record updated Mar 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
009810 Issued in NY
Practice address
10 Park Ave
Suite 2D
New York, NY 10016-4338
Phone
(646) 468-3325
Fax
(212) 918-9306
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 009810 NY Primary

Addresses

Primary practice location

10 Park Ave
Suite 2D
New York, NY 10016-4338

Mailing address

5005 43Rd Ave
Apt. 2a
Woodside, NY 11377-4471
Phone (646) 468-3325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235865600000",
    "number": "1952448169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 43RD AVE",
            "address_2": "APT. 2A",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774471",
            "telephone_number": "646-468-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARK AVE",
            "address_2": "SUITE 2D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164338",
            "telephone_number": "646-468-3325",
            "fax_number": "212-918-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAITHWAITE",
        "first_name": "JASON",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "009810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.