Active NPI
Jillian Alleen Sherry, DC
- Chiropractor
- Riverhead, NY
National Provider Identifier
1982192696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 013088
- Practice address
- 550 E Main St
Riverhead, NY 11901-2672 - Phone
- (631) 369-4292
- NPI assigned
- Apr 27, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 013088 | NY | Primary |
Addresses
Primary practice location
550 E Main St
Riverhead, NY 11901-2672
Mailing address
39 Springy Banks Rd
East Hampton, NY 11937-1189
Other practice location 1
160 Middle Rd
Sayville, NY 11782-3126
Phone (631) 239-8262
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013088 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverhead Medical & Rehabilitation PC | 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.
-
- Physical Medicine & Rehabilitation Physician
- Massapequa, NY
- NPI 1912519455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1982192696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 SPRINGY BANKS RD",
"city": "EAST HAMPTON",
"state": "NY",
"postal_code": "119371189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E MAIN ST",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119012672",
"telephone_number": "631-369-4292"
}
],
"practiceLocations": [
{
"address_1": "160 Middle Rd",
"address_purpose": "LOCATION",
"city": "Sayville",
"state": "NY",
"postal_code": "117823126",
"country_code": "US",
"telephone_number": "631-239-8262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHERRY",
"first_name": "JILLIAN",
"middle_name": "ALLEEN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-27",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "013088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.