NPIMap

Organization Active NPI

Lawrence a Johnson DC PC

  • Chiropractor
  • Mineola, NY
National Provider Identifier
1063859668
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X2293 Issued in NY
Legal business name
LAWRENCE A JOHNSON DC PC
Practice address
90 Jericho Tpke
Suite 6
Mineola, NY 11501-1845
Phone
(516) 248-4960
Fax
(516) 248-4962
NPI assigned
May 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Dr. Lawrence A Johnson, D.C.NPI 1568511863
Title
President/Owner
Phone
(516) 248-4960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X2293 NY Primary

Addresses

Primary practice location

90 Jericho Tpke
Suite 6
Mineola, NY 11501-1845

Mailing address

90 Jericho Tpke
Suite 6
Mineola, NY 11501-1845
Phone (516) 248-4960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721001139 NY Part B Supplier - Clinic/Group Practice 4587644539 Receives reassigned benefits from 1 practitioner
Practice locations: Albertson, NY

National Provider Directory

National Provider Directory

Locations

90 Jericho Tpke
Ste 6
Mineola, NY 11501
Phone (516) 248-4960

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1063859668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 JERICHO TPKE",
            "address_2": "SUITE 6",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011845",
            "telephone_number": "516-248-4960",
            "fax_number": "516-248-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 JERICHO TPKE",
            "address_2": "SUITE 6",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011845",
            "telephone_number": "516-248-4960",
            "fax_number": "516-248-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE A JOHNSON DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "516-248-4960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X2293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.