Individual provider Active NPI

Cathyanne Amdur, D.C.

  • Chiropractor
  • Babylon, NY
National Provider Identifier
1124100185
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007445 Issued in NY
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

Updated by the provider on Jul 9, 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 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

IdentifierTypeStateIssuer
C07445-2OtherNYWORKERS 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

LicenseStateTypeSpecialty
X007445NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Amdur Chiropractic PC Chiropractor PastSince Jul 1, 1998 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.

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.

Verify at the official NPI Registry.