Individual provider Active NPI

Kelly A Lizewski, KELLY LIZEWSKI D.C.

  • Chiropractor
  • Huntingtn Sta, NY
National Provider Identifier
1174719652
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0107471 Issued in NY
Practice address
6 Weston St
Huntingtn Sta, NY 11746-4031
Phone
(516) 410-5469
Fax
(631) 423-7316
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0107471 NY Primary

Addresses

Primary practice location

6 Weston St
Huntingtn Sta, NY 11746-4031

Mailing address

6 Weston St
Huntingtn Sta, NY 11746-4031
Phone (516) 410-5469

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
010747NYMDClinical Psychologist
X0107471NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Health Chiropractic, P.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1174719652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WESTON ST",
            "city": "HUNTINGTN STA",
            "state": "NY",
            "postal_code": "117464031",
            "telephone_number": "516-410-5469",
            "fax_number": "631-423-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WESTON ST",
            "city": "HUNTINGTN STA",
            "state": "NY",
            "postal_code": "117464031",
            "telephone_number": "516-410-5469",
            "fax_number": "631-423-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZEWSKI",
        "first_name": "KELLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "KELLY LIZEWSKI D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0107471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingtn Sta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.