Individual provider Active NPI

Alfred E Clapper Jr.

  • Chiropractor
  • Newburgh, NY
National Provider Identifier
1053491589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005164 Issued in NY
Practice address
1650 Route 300
Newburgh, NY 12550-1757
Phone
(845) 566-0107
Fax
(845) 566-0158
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X005164 NY Primary

Addresses

Primary practice location

1650 Route 300
Newburgh, NY 12550-1757

Mailing address

1650 Route 300
Newburgh, NY 12550-1757
Phone (845) 566-0107

Other identifiers 3

IdentifierTypeStateIssuer
10034811OtherNYCDPHD GROUP #6393
4126700OtherNYMVP
X43041OtherNYBLUECROSSBLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000006 NY Practitioner - Chiropractic 1759548407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1650 Route 300
Newburgh, NY 12550-1757
Phone (845) 566-0107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X005164NYMDChiropractor
005164NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clapper Chiropractic, PC Chiropractor CurrentSince Jan 1, 2012 Accepting new patients

Locations

1650 Route 300
Newburgh, NY 12550
Phone (845) 551-6991

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053491589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 ROUTE 300",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501757",
            "telephone_number": "845-566-0107",
            "fax_number": "845-566-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ROUTE 300",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501757",
            "telephone_number": "845-566-0107",
            "fax_number": "845-566-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAPPER",
        "first_name": "ALFRED",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHD GROUP #6393",
            "identifier": "10034811",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "4126700",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "X43041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.