Organization Active NPI

Chiropractic Health Services, PC

Doing business as Newburgh Chiropractic

  • Chiropractor
  • Newburgh, NY
National Provider Identifier
1982635728
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009817 Issued in NY
Legal business name
CHIROPRACTIC HEALTH SERVICES, PC
Doing business as
Newburgh Chiropractic
Practice address
3 Pierces Rd
Newburgh, NY 12550-3234
Phone
(845) 561-6800
Fax
(914) 885-1091
NPI assigned
Jul 6, 2006
Last updated
Aug 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Dr. Janette Diana Asaro Pena, D.C.NPI 1770513996
Title
President
Phone
(917) 574-6396

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 X009817 NY Primary

Addresses

Primary practice location

3 Pierces Rd
Newburgh, NY 12550-3234

Mailing address

3 Pierces Rd
Newburgh, NY 12550-3234
Phone (845) 561-6800

Other identifiers 1

IdentifierTypeStateIssuer
C-9817-0BOtherNYWORKER'S COMPENSATION

Other names 1

  • Newburgh Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110629000229 NY Part B Supplier - Clinic/Group Practice 5890973523 Receives reassigned benefits from 1 practitioner
Practice locations: Newburgh, NY

National Provider Directory

National Provider Directory
Tax ID family
Chiropractic Health Services PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1982635728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PIERCES RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503234",
            "telephone_number": "845-561-6800",
            "fax_number": "914-885-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PIERCES RD",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503234",
            "telephone_number": "845-561-6800",
            "fax_number": "914-885-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "ASARO PENA",
        "authorized_official_first_name": "JANETTE",
        "authorized_official_middle_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-574-6396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION",
            "identifier": "C-9817-0B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newburgh Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.