Active NPI
Timothy Michael Lukasik, D.C.
- Chiropractor
- Lancaster, NY
National Provider Identifier
1194722918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010756
- 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
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 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2002
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| X010756 | NY | MD | Chiropractor |
| 010756 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Chiropractic & Physical Therapy, PLLC | Chiropractor | Current | 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.
-
- Chiropractor
- Buffalo, NY
- NPI 1649887019
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.