Jonathan Todd Amdur, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X007446 Issued in NY

Practice address

194 Deer Park Ave
Babylon, NY 11702-2804

Phone

(631) 321-6300

Fax

(631) 321-6338

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY, NC2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

New York Chiropractic College, 1991

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.

• Copiague Chiropractic, PC

  • Chiropractor
  • Copiague, NY
  • NPI 1780971358
  Medicare reassignment NPD
• 910 Chiropractic PC

  • Chiropractor
  • Surf City, NC
  • NPI 1255043766
  NPD Authorized official
• Christopher Horsford PT PC

  • Physical Therapist
  • Shirley, NY
  • NPI 1447581723
  NPD (past)
• Eagleeye Radiology, Inc

  • Diagnostic Radiology Physician
  • Sterling, VA
  • NPI 1033359351
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1255413217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022804",
            "telephone_number": "631-321-6300",
            "fax_number": "631-321-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117022804",
            "telephone_number": "631-321-6300",
            "fax_number": "631-321-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMDUR",
        "first_name": "JONATHAN",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI INDIVIDUAL #",
            "identifier": "5897873",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION ID #",
            "identifier": "C07446-0",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin S. Alloy, L.C.S.W.
• Brooke Thorner Alpert, RN 1762671
• Jonathan Alverio, MD
• Amdur Chiropractic PC
• Cathyanne Amdur, D.C.
• Dianna Anderson, PTA
• Andrea E Huggler Lac. LLC.
• Alexandre Gennadievich Andrianov, MD
• Marina Andrianova, MD
• Anthony Cipolla Physician, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.