Jeffrey B. Chick M.D.P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

127721-1 Issued in NY

Legal business name

JEFFREY B. CHICK M.D.P.C.

Practice address

5528 Legionnire Drive
Cicero, NY 13209-2228

Phone

(315) 579-2760

Fax

(315) 579-2761

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey Beecham Chick, M.D.

Title

President

Phone

(315) 579-2760

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3315/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1982774667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5528 LEGIONNAIRE DRIVE",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "132092228",
            "telephone_number": "315-579-2760",
            "fax_number": "315-579-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5528 LEGIONNIRE DRIVE",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "132092228",
            "telephone_number": "315-579-2760",
            "fax_number": "315-579-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY B. CHICK M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "CHICK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BEECHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-579-2760",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "127721-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00570434",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth A. Iles, DC
• Zachary James Irving, LPN
• Daria K Janecek, L.M.T.
• Jefferson Dental Services,P.C.
• Jeffrey a. Byrne, D.C., P.C.
• Taralynne Jenkins, LPN
• Jennifer Lonnen DDS PLLC (Cicero Family Dentistry)
• Jennifer Winiarczyk-Nalle, NP in Psychiatry, RN, MSN, PLLC
• Johnson Chiropractic Health Services
• Johnson Chiropractic Health Services PC

• Specialist in Cicero, NY
• Providers in Cicero, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.