Organization Active NPI

Lewandowski Family Chiropractic, P.C.

  • Chiropractor
  • Feasterville Trevose, PA
National Provider Identifier
1316269970
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-005610-L Issued in PA
Legal business name
LEWANDOWSKI FAMILY CHIROPRACTIC, P.C.
Practice address
1125 Central Ave
Feasterville Trevose, PA 19053-4508
Phone
(215) 396-7388
Fax
(215) 396-7390
NPI assigned
Feb 24, 2010
Last updated
Feb 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Bruce Edward Lewandowski, D.C.
Title
Chiropractor/Owner
Phone
(215) 396-7388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC-005610-L PA Primary

Addresses

Primary practice location

1125 Central Ave
Feasterville Trevose, PA 19053-4508

Mailing address

1125 Central Ave
Feasterville Trevose, PA 19053-4508
Phone (215) 396-7388

Other identifiers 1

IdentifierTypeStateIssuer
2355735000OtherPAINDEPENDENCE BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100223000770 PA Part B Supplier - Clinic/Group Practice 8123162518 Receives reassigned benefits from 1 practitioner
Practice locations: Feasterville Trevose, PA

National Provider Directory

National Provider Directory

Locations

1248 Brownsville Rd
Trevose, PA 19053
Phone (215) 396-7388

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1316269970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CENTRAL AVE",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534508",
            "telephone_number": "215-396-7388",
            "fax_number": "215-396-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CENTRAL AVE",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190534508",
            "telephone_number": "215-396-7388",
            "fax_number": "215-396-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWANDOWSKI FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "215-396-7388",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-005610-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2355735000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.