DR. JEREMY TODD (NPI# 1376925255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376925255 |
| Entity Type | Individual |
| Full Name | DR. JEREMY TODD |
| Credential | DC |
| Practice Address |
4454 Austin Bvld Island Park NY 11558 |
| Practice Telephone | 5164322100 |
| Practice Fax Number | 5164315835 |
| Mailing Telephone | 5164322100 |
| Mailing Fax Number | 5164315835 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X011655 | NY | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710515622 | Jeremy Christian Todd | Student in an Organized Health Care Education/Training Program | 700 W Olney Rd, Norfolk, VA 23507-1607 | 2020-03-28 |
| Street Address |
4454 AUSTIN BVLD |
| City | ISLAND PARK |
| State | NY |
| Zip Code | 11558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316403249 | Maria Digennaro | Specialist | 133 Jefferson Ave, Island Park, NY 11558 | 2019-02-15 |
| 1538349816 | Barry J Goodman Dc PC | Chiropractor | 156 Long Beach Road, Island Park, NY 11558 | 2007-11-05 |
| 1154535748 | Sheila Peck | Social Worker | 1010 California Pl S, Island Park, NY 11558 | 2007-05-10 |
| 1659407211 | Vimla P. Vadhan | Psychologist | 1 Long Beach Road, Bayview Nursing Home, Island Park, NY 11558 | 2007-02-26 |
| 1184633604 | James Vincent Thorne | Dentist | 175 Hamilton Ave, Island Park, NY 11558 | 2006-08-05 |
| 1013980630 | Steven L Prince | Podiatrist | 78 Marina Rd, Island Park, NY 11558-1007 | 2006-02-13 |
| 1154872265 | Abby Etta Winderman | Behavior Technician | 95 Ostend Rd, Island Park, NY 11558-1016 | 2016-10-24 |
| 1407136351 | Jeffrey Peter Goldstein | Physical Therapist | 33 Redfield Rd, Island Park, NY 11558-1018 | 2011-08-24 |
| 1386967032 | Virginia Lee Davis | Speech-Language Pathologist | 49 Redfield Rd., Island Park, NY 11558-1018 | 2010-03-10 |
| 1902452170 | Nicole Bonelli | Licensed Practical Nurse | 99 Waterford Rd, Island Park, NY 11558-1023 | 2019-08-14 |
| Find all providers in zip 11558 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568935120 | Vatra Spina and Sport LLC | Chiropractor | 4454 Austin Bvld., Island Park, NY 11558-1155 | 2019-01-07 |
| 1518473479 | Michael Vanchieri | Chiropractor | 4454 Austin Boulevard, Island Park, NY 11558-1155 | 2017-12-14 |
| 1538349816 | Barry J Goodman Dc PC | Chiropractor | 156 Long Beach Road, Island Park, NY 11558 | 2007-11-05 |
| 1912047499 | Aurelio Aleman Jr. | Chiropractor | 15 Parente Ln N, Island Park, NY 11558-1065 | 2007-02-07 |
| 1962977546 | Anita Antonia Gulic | Chiropractor | 4454 Austin Blvd, Island Park, NY 11558-1621 | 2018-10-10 |
| 1811151921 | Barry Jay Goodman | Chiropractor | 156 Long Beach Rd, Island Park, NY 11558-1512 | 2008-07-17 |
| 1427270990 | Aleman & Hastava Chiropractors P.C. | Chiropractor | 15 Parente Ln N, Island Park, NY 11558-1065 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980959 | Jay Rosenbluth | Chiropractor | 501 5th Ave Rm 809, New York, NY 10017-7809 | 2020-10-20 |
| 1457959223 | Howard Joseph Baron | Chiropractor | 360 Shore Rd Apt 6b, Long Beach, NY 11561-4374 | 2020-10-14 |
| 1003414079 | Brett John Poniros | Chiropractor | 220 Tompkins Ave, Pleasantville, NY 10570-3146 | 2020-10-13 |
| 1528675923 | Dominic Estevez | Chiropractor | 361 N Broadway, Lindenhurst, NY 11757-3302 | 2020-09-29 |
| 1457963969 | Mariella Townsend | Chiropractor | 220 S Service Rd Ste 12, Roslyn Heights, NY 11577-2131 | 2020-08-18 |
| 1235740275 | Andrea Hope Levin | Chiropractor | 280 Beaumont St, Brooklyn, NY 11235-4121 | 2020-08-13 |
| 1326657354 | David Gurpegui | Chiropractor | 13263 Maple Ave Apt 2r, Flushing, NY 11355-4417 | 2020-07-27 |
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1700404027 | Amy J Lin | Chiropractor | 8225 Queens Blvd Ste 1a, Elmhurst, NY 11373-4242 | 2020-07-13 |
| 1124646856 | Brayana Lashay Dudley | Chiropractor | 25 Scott Ln, Rochester, NY 14624-3919 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | ISLAND PARK |
| Zip Code | 11558 |
Please comment or provide details below to improve the information on DR. JEREMY TODD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.