Edwin Eugene Thompson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011677 Issued in NY

Practice address

21435 42ND Ave
3Rd Floor
Bayside, NY 11361-2917

Phone

(718) 229-4868

Fax

(718) 229-4993

NPI assigned

Jun 23, 2009

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Medalliance Medical Health Services Inc

  • Clinic/Center
  • Bronx, NY
  • NPI 1558356741
  Medicare reassignment NPD
• Inzlicht, Lewin & Winiarsky, MD, PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1194934661
  NPD (past)
• Queens Rehabilitation & Diagnostics

  • Physical Medicine & Rehabilitation Physician
  • Bayside, NY
  • NPI 1588940464
  NPD (past)

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1295963817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21435 42ND AVE",
            "address_2": "3RD FLOOR",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612917",
            "telephone_number": "718-229-4868",
            "fax_number": "718-229-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21435 42ND AVE",
            "address_2": "3RD FLOOR",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612917",
            "telephone_number": "718-229-4868",
            "fax_number": "718-229-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "EDWIN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theramotion Physical Therapy PLLC
• Therapy Centro, OT, PC
• Kevin A Thomas, LMT
• Kofoworola Thomas, R.N.
• Georgios Thomatos
• Thrive Dental PLLC
• Louise Tiano
• Kristine Colette Tiezzi
• Megan Tirella
• Alice Chabora Tobias, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.