Active NPI
Adam T Doan, D.C.
- Chiropractor
- Ridgewood, NY
National Provider Identifier
1003965591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010646-1
- Practice address
- 6044 Myrtle Ave
Ridgewood, NY 11385-5907 - Phone
- (718) 386-7000
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X010646-1 | NY | Primary |
Addresses
Primary practice location
6044 Myrtle Ave
Ridgewood, NY 11385-5907
Mailing address
6044 Myrtle Avenue
Ridgewood, NY 11385
Phone (718) 386-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X010646-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tonuca Basu Physician P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Ridgewood, NY
- NPI 1104266584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003965591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6044 MYRTLE AVENUE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "11385",
"telephone_number": "718-386-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6044 MYRTLE AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113855907",
"telephone_number": "718-386-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOAN",
"first_name": "ADAM",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010646-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.