Individual provider Active NPI

Lisa Anna Szambel, D.C.

  • Chiropractor
  • Wantagh, NY
National Provider Identifier
1245397124
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005535 Issued in NY
Practice address
3351 Park Ave
Wantagh, NY 11793-3716
Phone
(516) 221-2125
Fax
(516) 221-2114
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 X005535 NY Primary

Addresses

Primary practice location

3351 Park Ave
Wantagh, NY 11793-3716

Mailing address

3351 Park Ave
Wantagh, NY 11793-3716
Phone (516) 221-2125

Other identifiers 2

IdentifierTypeStateIssuer
P414903OtherNYOXFORD PROVIDER NUMBER
X29763OtherNYBC AND BS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060214000440 NY Practitioner - Chiropractic 8729093612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3391 Demott Ave
Wantagh, NY 11793-3410
Phone (516) 221-2125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X005535NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Anna Szambel, D.C., P.C. Chiropractor CurrentSince Mar 1, 1991 Accepting new patients

Locations

3351 Park Ave
Wantagh, NY 11793
Phone (516) 221-2125

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245397124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 PARK AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933716",
            "telephone_number": "516-221-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 PARK AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933716",
            "telephone_number": "516-221-2125",
            "fax_number": "516-221-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZAMBEL",
        "first_name": "LISA",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER NUMBER",
            "identifier": "P414903",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC AND BS PROVIDER NUMBER",
            "identifier": "X29763",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.