Robert C Leahy, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X0065433 Issued in NY

Practice address

1018 Waverly Ave
Suite 13
Holtsville, NY 11742-1128

Phone

(631) 654-7900

Fax

(631) 654-7972

NPI assigned

Nov 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Holtsville Chiropractic PC

  • Chiropractor
  • Holtsville, NY
  • NPI 1417121070
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1245213131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 WAVERLY AVE",
            "address_2": "SUITE13",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421128",
            "telephone_number": "631-654-7900",
            "fax_number": "631-654-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 WAVERLY AVE",
            "address_2": "SUITE 13",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421128",
            "telephone_number": "631-654-7900",
            "fax_number": "631-654-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0065433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Kramer
• Theresa Marie Krawchuk, MSED
• Jennifer L Kubinski
• Joseph H Laudadio, M.S. SPED
• Angela Marie Lauruska, M.S. ED.
• Mi Joung Lim
• Miriam D Linton
• Lisa Piera Lipari, DC
• Michele Eileen Lippl, RN
• Lisa P. Lipari, DC, PLLC

• Chiropractor in Holtsville, NY
• Providers in Holtsville, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.