Active NPI
Gary E Lynk, DC
- Chiropractor
- Hudson, NY
National Provider Identifier
1114920352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007862
- Practice address
- 322 Fairview Ave
Hudson, NY 12534-1219 - Phone
- (518) 828-3662
- Fax
- (518) 828-3845
- NPI assigned
- May 23, 2005
- Reactivated
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | X007862 | NY | Primary |
Addresses
Primary practice location
322 Fairview Ave
Hudson, NY 12534-1219
Mailing address
322 Fairview Ave
Hudson, NY 12534-1219
Phone (518) 828-3662
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X007862 | Other | NY | LICENSE NUMBER |
| 40096 | Other | NY | PRISM |
| 906401 | Other | NY | AETNA |
| X5Z91 | Other | NY | EMPIRE BC/BS |
| 10016419-L198 | Other | CDPHP | |
| 98L1039 | Other | NY | MVP/LANDMARK |
| 350051873 | Other | NY | RAILROAD MEDICARE |
| 5806496 | Other | NY | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160119002091 | NY | Practitioner - Chiropractic | 3971806399 | Practice locations: Hudson, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
322 Fairview Ave
Hudson, NY 12534-1219
Phone (518) 828-7600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007862 | NY | MD | Mental Health Counselor |
| X007862 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Family Medicine PLLC. | Past | Accepting new patients | |
| American Chiropractic Enterprise PLLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Hudson, NY
- NPI 1942495486
-
- Family Medicine Physician
- New York, NY
- NPI 1467539874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1114920352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 FAIRVIEW AVE",
"city": "HUDSON",
"state": "NY",
"postal_code": "125341219",
"telephone_number": "518-828-3662",
"fax_number": "518-828-3845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 FAIRVIEW AVE",
"city": "HUDSON",
"state": "NY",
"postal_code": "125341219",
"telephone_number": "518-828-3662",
"fax_number": "518-828-3845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNK",
"first_name": "GARY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2007-10-10",
"deactivation_date": "2006-03-15",
"reactivation_date": "2006-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X007862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "X007862",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRISM",
"identifier": "40096",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "906401",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC/BS",
"identifier": "X5Z91",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10016419-L198",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP/LANDMARK",
"identifier": "98L1039",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350051873",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5806496",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.