Individual provider Active NPI

Timothy Michael Lukasik, D.C.

  • Chiropractor
  • Lancaster, NY
National Provider Identifier
1194722918
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010756 Issued in NY
Practice address
4917 William St
Suite a
Lancaster, NY 14086-3200
Phone
(716) 706-0005
Fax
(716) 706-0220
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 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 X010756 NY Primary

Addresses

Primary practice location

4917 William St
Suite a
Lancaster, NY 14086-3200

Mailing address

295 Enez Dr
Depew, NY 14043-1209
Phone (716) 684-5365

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051027000707 NY Practitioner - Chiropractic 1355368598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Buffalo Chiropractic and Physical Therapy, PLLCGroup PAC ID 7113347790, 5 clinicians

Practice addresses (Care Compare)

2495 Main St
Suite 449
Buffalo, NY 14214-2152
Phone (716) 892-8811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010756NYMDChiropractor
010756NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Chiropractic & Physical Therapy, PLLC Chiropractor CurrentSince Dec 1, 2021 Accepting new patients

Locations

2495 Main St
Ste 449
Buffalo, NY 14214
Phone (716) 892-8811

1002 E Lovejoy St
Buffalo, NY 14206
Phone (716) 892-8811

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1194722918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 ENEZ DR",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431209",
            "telephone_number": "716-684-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 WILLIAM ST",
            "address_2": "SUITE A",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140863200",
            "telephone_number": "716-706-0005",
            "fax_number": "716-706-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKASIK",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.