Individual provider Active NPI

Kathleen Lynch McLaughlin, DC

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1063575975
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X3363 Issued in NY
Practice address
8301 Ridge Blvd
Suite L4
Brooklyn, NY 11209-4343
Phone
(718) 748-8044
Fax
(718) 921-3629
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X3363 NY Primary
Chiropractor 111N00000X 2458 NJ

Addresses

Primary practice location

8301 Ridge Blvd
Suite L4
Brooklyn, NY 11209-4343

Mailing address

13 Prides Crossing
New City, NY 10956-6235
Phone (845) 639-9040

Other identifiers 1

IdentifierTypeStateIssuer
0061732OtherGHI PROVIDER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111209000420 NY Practitioner - Chiropractic 7416122015 Practice locations: Brooklyn, NY; New City, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8301 Ridge Blvd
Apt L4
Brooklyn, NY 11209-4343
Phone (718) 748-8044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2458NJMDChiropractor
X3363NYMDChiropractor
003363NYMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063575975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PRIDES CROSSING",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566235",
            "telephone_number": "845-639-9040",
            "fax_number": "845-639-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 RIDGE BLVD",
            "address_2": "SUITE L4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094343",
            "telephone_number": "718-748-8044",
            "fax_number": "718-921-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "KATHLEEN",
        "middle_name": "LYNCH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X3363",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "2458",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER",
            "identifier": "0061732",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, 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.