Active NPI
Cathyanne Amdur, D.C.
- Chiropractor
- Babylon, NY
National Provider Identifier
1124100185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007445
- Practice address
- 194 Deer Park Ave
Babylon, NY 11702-2804 - Phone
- (631) 321-6300
- Fax
- (631) 321-6338
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- 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 | X007445 | NY | Primary |
Addresses
Primary practice location
194 Deer Park Ave
Babylon, NY 11702-2804
Mailing address
194 Deer Park Ave
Babylon, NY 11702-2804
Phone (631) 321-6300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C07445-2 | Other | NY | WORKERS COMPENSATION ID # |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X007445 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amdur Chiropractic PC | Chiropractor | 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.
-
- Chiropractor
- Babylon, NY
- NPI 1053436311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1124100185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 DEER PARK AVE",
"city": "BABYLON",
"state": "NY",
"postal_code": "117022804",
"telephone_number": "631-321-6300",
"fax_number": "631-321-6338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 DEER PARK AVE",
"city": "BABYLON",
"state": "NY",
"postal_code": "117022804",
"telephone_number": "631-321-6300",
"fax_number": "631-321-6338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMDUR",
"first_name": "CATHYANNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X007445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION ID #",
"identifier": "C07445-2",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.