NPIMap

Organization Active NPI

JRJ Chiropractic P.C.

  • Chiropractor
  • Little Neck, NY
National Provider Identifier
1982980702
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11168 Issued in NY
Legal business name
JRJ CHIROPRACTIC P.C.
Practice address
25512 Northern Blvd
Little Neck, NY 11362-1470
Phone
(718) 279-1234
Fax
(718) 279-1233
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Brian Bak, D.C.NPI 1477724177
Title
Chiropractor
Phone
(917) 715-9059

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11168 NY Primary

Addresses

Primary practice location

25512 Northern Blvd
Little Neck, NY 11362-1470

Mailing address

24804 Cambria Ave FL 1
Little Neck, NY 11362-1230
Phone (917) 715-9059

National Provider Directory

National Provider Directory
Tax ID family
JRJ Chiropractic2 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.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1982980702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24804 CAMBRIA AVE FL 1",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621230",
            "telephone_number": "917-715-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25512 NORTHERN BLVD",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621470",
            "telephone_number": "718-279-1234",
            "fax_number": "718-279-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRJ CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "917-715-9059",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "11168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.