Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jay A Provenzano, DC

Individual provider Chiropractor · NPI 1114095304

Dr. Jay A Provenzano, DC is a Chiropractic in Quincy, Massachusetts. Graduated from New York Chiropractic College in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
23
Trained at
New York Chiropractic College
Licensed in
MA
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

25 School St Ste B-2
Quincy, MA 02169-6607
Phone: (617) 689-0440
Fax: (617) 689-0420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2886 (MA)

Record details

NPI number1114095304
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedDecember 4, 2006
Last updated in NPPESJune 9, 2010
Mailing address25 School St, Suite B-2, Quincy, MA 02169-6607

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNEW YORK CHIROPRACTIC COLLEGE
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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