Active NPI
Patrick J Eglauf, D.C.
- Chiropractor
- White Plains, NY
National Provider Identifier
1225106552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007298-1
- Practice address
- 30 Greenridge Ave Suite 2K
White Plains, NY 10605 - Phone
- (914) 761-1886
- Fax
- (914) 949-8271
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | X007298-1 | NY | Primary |
Addresses
Primary practice location
30 Greenridge Ave Suite 2K
White Plains, NY 10605
Mailing address
30 Greenridge Ave Suite 2K
White Plains, NY 10605
Phone (914) 761-1886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13-4145259 | Other | NY | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110107000181 | NY | Practitioner - Chiropractic | 1759570633 | Practice locations: White Plains, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
30 Greenridge Ave
Suite 2K
White Plains, NY 10605-1266
Phone (914) 761-1886
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X007298-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1225106552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 GREENRIDGE AVE SUITE 2K",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10605",
"telephone_number": "914-761-1886",
"fax_number": "914-949-8271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 GREENRIDGE AVE SUITE 2K",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10605",
"telephone_number": "914-761-1886",
"fax_number": "914-949-8271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGLAUF",
"first_name": "PATRICK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X007298-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "13-4145259",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.