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DR. JAY A PROVENZANO D.C.
NPI 1114095304
Chiropractor in Quincy, MA

Active since December 04, 2006Accepts Medicare Assignment
25 SCHOOL ST, SUITE B-2, QUINCY, MA 02169(617) 689-0440(617) 689-0420 Get Directions Write a Review

NPPES record last updated: June 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jay A Provenzano D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAY A PROVENZANO D.C. (NPI 1114095304) is an individual chiropractor in Quincy, Massachusetts, licensed in Massachusetts (2886) and active in the NPI registry since December 2006. He is a graduate of New York Chiropractic College (2003).

NPPES Registry Identity

NPI1114095304
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JAY A PROVENZANOCredential: D.C.
Location Address25 SCHOOL ST, SUITE B-2Quincy, MA 02169-6607
Mailing Address25 School St, Suite B-2Quincy, MA 02169-6607 · (617) 689-0440 · Fax (617) 689-0420
Phone(617) 689-0440
Fax(617) 689-0420
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 2003
Enumeration DateDecember 4, 2006
Last NPPES UpdateJune 9, 2010
✔ NPI 1114095304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MA · 2886
Definition
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.
25 SCHOOL ST, Quincy, MA 02169
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Other Identifiers 1

Medicare PINY4571601MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jay A Provenzano D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860471828
PECOS Enrollment IDI20040714001369

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
937 services90 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

J & M PRO P.C.
Chiropractor
25 SCHOOL ST, SUITE B-2
QUINCY, MA 02169
Norfolk County (617) 689-0440
SOUTH SHORE INJURY TREATMENT CENTER
Physical Medicine & Rehabilitation
25 SCHOOL ST, B2
QUINCY, MA 02169
Norfolk County (617) 689-0440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Provenzano's NPI number?

The NPI number for Jay Provenzano is 1114095304. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Jay Provenzano located?

Jay Provenzano practices at 25 School St Suite B-2, Quincy, MA 02169. The listed phone number is (617) 689-0440.

What is Jay Provenzano's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jay Provenzano enrolled in Medicare?

Yes. Jay Provenzano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jay Provenzano accept?

Health plans from Anthem Blue Cross and Blue Shield and Providence Health Plan list Jay Provenzano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jay Provenzano was last updated on June 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.