JONATHAN SHEA DEGORTER (NPI# 1053657643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053657643 |
| Entity Type | Individual |
| Full Name | JONATHAN SHEA DEGORTER |
| Credential | D.C. |
| Practice Address |
33 Queens St Syosset NY 11791-3063 |
| Practice Telephone | 5169211295 |
| Practice Fax Number | 5164962860 |
| Mailing Telephone | 5169211295 |
| Mailing Fax Number | 5164962860 |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2015-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X012214-1 | NY | Chiropractic Providers |
| Street Address |
33 QUEENS ST |
| City | SYOSSET |
| State | NY |
| Zip Code | 11791-3063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1770118168 | Naomi Krikheli | Occupational Therapy Assistant | Cooper Kids Therapy Associates, 2 Roosevelt Ave Sute300, Syosset, NY 11791 | 2020-03-06 |
| 1912482266 | Angela Viviana Depompeis | Student in an Organized Health Care Education/Training Program | 6800 Jericho Turnpike Suite 120w, Syosset, NY 11791 | 2018-10-02 |
| 1063997104 | Stephen William Tozer | Specialist/Technologist | 70 South Woods Road, Syosset, NY 11791 | 2018-09-25 |
| 1295214682 | Cathy Lynn Singer | Nurse Practitioner | 575 Underhill Blvd Ste 210, Syosset, NY 11791 | 2018-08-07 |
| 1831628296 | Amanticia Joseph | Case Manager/Care Coordinator | 40 Oak Drive, Syosset, NY 11791 | 2017-06-08 |
| 1528500758 | James F Creamer | Chiropractor | 15 Beatrice Ave, Syosset, NY 11791 | 2016-11-04 |
| 1053868190 | Diana Eileen Marlow | Registered Nurse | 1597 Laurel Hollow Road, Syosset, NY 11791 | 2016-09-07 |
| 1346796695 | Emily Bregman | Specialist | 33 Picardy Lane, Laurel Hollow, NY 11791 | 2016-08-28 |
| 1962811364 | Leslie Juarez | Registered Nurse | 7 Market Drive, Syosset, NY 11791 | 2014-08-11 |
| Find all providers in zip 11791 | ||||
| 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 |
|---|---|---|---|---|
| 1528500758 | James F Creamer | Chiropractor | 15 Beatrice Ave, Syosset, NY 11791 | 2016-11-04 |
| 1841673233 | New York College of Health Professions | Chiropractor | 6801 Jericho Tpke, Syosset, NY 11791-4458 | 2015-07-02 |
| 1548576432 | Syosset Chiropractic Associates PC | Chiropractor | 332 Jackson Ave, Syosset, NY 11791-4124 | 2010-08-30 |
| 1194045518 | Craig Drucker D.c., P.C. | Chiropractor | 175 Jericho Tpke Ste 116, Syosset, NY 11791-4501 | 2010-06-08 |
| 1780900522 | Robert Seungmin Lee | Chiropractor | 2 Comet Rd, Syosset, NY 11791-6909 | 2010-04-19 |
| 1891024659 | Dana Levine-gelber | Chiropractor | 12 Beatrice Ave, Syosset, NY 11791-4003 | 2009-12-08 |
| 1225277189 | Steven Jonas | Chiropractor | 2a Jackson Ave, Syosset, NY 11791-3144 | 2009-02-16 |
| 1306023585 | Peter Anton Pramberger | Chiropractor | 205 Jerome St, Syosset, NY 11791-5403 | 2008-01-30 |
| 1164626966 | Jeffrey Michael Rosenberg | Chiropractor | 206 Fen Way, Syosset, NY 11791-4317 | 2007-06-14 |
| 1356471551 | David Cuccia | Chiropractor | 227 Jackson Ave, Syosset, NY 11791-4220 | 2007-03-06 |
| Find all providers in SYOSSET | ||||
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| 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.