Active NPI
Jeffrey Spina, DC
- Chiropractor
- Middletown, NY
National Provider Identifier
1972512093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 004509
- Practice address
- 52 Dolson Ave
Middletown, NY 10940-6424 - Phone
- (845) 342-0746
- Fax
- (845) 342-2739
- NPI assigned
- Aug 7, 2006
- 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 | 004509 | NY | Primary |
Addresses
Primary practice location
52 Dolson Ave
Middletown, NY 10940-6424
Mailing address
PO Box 490
Middletown, NY 10940-0490
Phone (845) 342-0746
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004509 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dolson Avenue Medical | Chiropractor | Past | Accepting new patients |
| Physical Therapy & Chiropractic of Middletown, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Middletown, NY
- NPI 1720158660
Chiropractor
-
- Physical Therapist
- Middletown, NY
- NPI 1790991321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308182400000",
"number": "1972512093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109400490",
"telephone_number": "845-342-0746",
"fax_number": "845-342-2739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 DOLSON AVE",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109406424",
"telephone_number": "845-342-0746",
"fax_number": "845-342-2739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPINA",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2011-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "004509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.