Active NPI
Peter Lagueras, D.C.
- Chiropractor
- Merrick, NY
National Provider Identifier
1265640320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X-4285-1
- Practice address
- 199 Loines Ave
Merrick, NY 11566-3213 - Phone
- (516) 771-0632
- NPI assigned
- May 20, 2007
- 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 | X-4285-1 | NY | Primary |
Addresses
Primary practice location
199 Loines Ave
Merrick, NY 11566-3213
Mailing address
199 Loines Ave
Merrick, NY 11566-3213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111207000123 | NY | Practitioner - Chiropractic | 6901071745 | Practice locations: Merrick, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
199 Loines Ave
Merrick, NY 11566-3213
Phone (516) 771-0632
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-4285-1 | NY | MD | Chiropractor |
| 004285 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265640320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 LOINES AVE",
"city": "MERRICK",
"state": "NY",
"postal_code": "115663213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 LOINES AVE",
"city": "MERRICK",
"state": "NY",
"postal_code": "115663213",
"telephone_number": "516-771-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGUERAS",
"first_name": "PETER",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X-4285-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrick, 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.