Individual provider Active NPI

Russell Mathew Lamboy, DC

  • Radiology Chiropractor
  • Farmingdale, NY
National Provider Identifier
1295748846
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
X010041-1 Issued in NY
Practice address
245 Conklin St
Farmingdale, NY 11735-2608
Phone
(516) 249-4488
Fax
(516) 249-4058
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Chiropractor 111NR0200X X010041-1 NY Primary

Addresses

Primary practice location

245 Conklin St
Farmingdale, NY 11735-2608

Mailing address

245 Conklin St
Farmingdale, NY 11735-2608
Phone (516) 249-4488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010041-1NYMDRadiology Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1295748846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CONKLIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352608",
            "telephone_number": "516-249-4488",
            "fax_number": "516-249-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CONKLIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352608",
            "telephone_number": "516-249-4488",
            "fax_number": "516-249-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBOY",
        "first_name": "RUSSELL",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "NY",
            "license": "X010041-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.