Individual provider Active NPI

Justin Kyle Amy, D.C.

  • Chiropractor
  • Albany, NY
National Provider Identifier
1356749097
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012716 Issued in NY
Practice address
8 Corporate Cir
Albany, NY 12203-5186
Phone
(518) 608-4446
Fax
(518) 456-0942
NPI assigned
Dec 11, 2014
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012716 NY Primary

Addresses

Primary practice location

8 Corporate Cir
Albany, NY 12203-5186

Mailing address

3 Johnson Rd
Ste 1
Latham, NY 12110-3051
Phone (570) 709-3566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151021000601 NY Practitioner - Chiropractic 3375861222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Dig Deep Chiropractic and Massage Therapy PLLCGroup PAC ID 8527334101, 2 clinicians

Practice addresses (Care Compare)

3 Johnson Rd
Suite 1
Latham, NY 12110-3051
Phone 51828904083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012716NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dig Deep Chiropractic & Massage Therapy, PLLC Chiropractor CurrentSince Dec 1, 2021 Accepting new patients
East Greenbush Chiropractic PLLC Chiropractor CurrentSince Jun 23, 2018 Accepting new patients
East Greenbush Chiropractic PLLC Chiropractor PastSince Sep 1, 2015 Accepting new patients
Capro Solutions, LLC PastSince Aug 7, 2018 Accepting new patients

Locations

569 Columbia Tpke
East Greenbush, NY 12061
Phone (518) 477-5000

3 Johnson Rd
Ste 1
Latham, NY 12110
Phone (518) 289-0408

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1356749097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JOHNSON RD",
            "address_2": "STE 1",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121103051",
            "telephone_number": "570-709-3566",
            "fax_number": "518-456-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CORPORATE CIR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035186",
            "telephone_number": "518-608-4446",
            "fax_number": "518-456-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMY",
        "first_name": "JUSTIN",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-11",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.