PORT JERVIS CHIROPRACTIC, P.C.
NPI 1164615399
Chiropractor in Port Jervis, NY

Active since August 21, 2007
27 E MAIN ST, PORT JERVIS, NY 12771(845) 858-8000(845) 858-8006 Get Directions Write a Review

NPPES record last updated: October 29, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Port Jervis Chiropractic, P.c. NPPES

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

PORT JERVIS CHIROPRACTIC, P.C. (NPI 1164615399) is a healthcare organization registered as a chiropractor in Port Jervis, New York and active in the NPI registry since August 2007. The organization lists Joseph J Spano, President, as its authorized official.

NPPES Registry Identity

NPI1164615399
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePORT JERVIS CHIROPRACTIC, P.C.
Location Address27 E MAIN STPort Jervis, NY 12771-1924
Mailing Address27 E Main StPort Jervis, NY 12771-1924 · (845) 858-8000 · Fax (845) 858-8006
Fax(845) 858-8006
Organization SubpartNo
Authorized OfficialJoseph J SpanoPresident · (845) 858-8000
Enumeration DateAugust 21, 2007
Last NPPES UpdateOctober 29, 2008
✔ NPI 1164615399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X010835
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.
27 E MAIN ST, Port Jervis, NY 12771

Other Identifiers 2

Medicare PINWXY001NY
Medicare UPINU99570NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Port Jervis Chiropractic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Port Jervis Chiropractic, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1992748073
27 E MAIN ST
Port Jervis, NY 12771
(845) 858-8000
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Port Jervis Chiropractic, P.C.'s NPI number?

The NPI number for Port Jervis Chiropractic, P.C. is 1164615399. It was assigned to this organization in the NPPES registry on August 21, 2007.

Where is Port Jervis Chiropractic, P.C. located?

Port Jervis Chiropractic, P.C. is located at 27 E Main St, Port Jervis, NY 12771. The listed phone number is (845) 858-8000.

What is Port Jervis Chiropractic, P.C.'s specialty?

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

Is Port Jervis Chiropractic, P.C. enrolled in Medicare?

Yes. Port Jervis Chiropractic, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Port Jervis Chiropractic, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Port Jervis Chiropractic, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Port Jervis Chiropractic, P.C. was last updated on October 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.