Ivan Lam, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

012540 Issued in NY

Practice address

20935 Northern Blvd Ste 209
Bayside, NY 11361-3134

Phone

(718) 577-8933

Fax

(718) 354-8883

NPI assigned

Jul 17, 2014

Last updated

Aug 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• New York Core Chiropractic P.C.

  • Chiropractor
  • Bayside, NY
  • NPI 1508311135
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1366859761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20810 CROSS ISLAND PKWY # 528",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601187",
            "telephone_number": "718-577-8933",
            "fax_number": "718-354-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20935 NORTHERN BLVD STE 209",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613134",
            "telephone_number": "718-577-8933",
            "fax_number": "718-354-8883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15814 Northern Blvd Ste Ul3",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113581600",
            "country_code": "US",
            "telephone_number": "718-577-8933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-17",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012540-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Darlene Lafratta, LMSW
• Lakeside Acupuncture and Massage PC
• Armin Lalehzari, D.D.S.
• Ada Manying Lam, MS, RD, CDN
• Ching Yi Lam, MS, CCC-SLP
• Glenn Clifford Landau, DDS
• Sheera M Landsman, OTR/L MA
• Dominika Lapinska
• Angie Lau
• Gail J Laufer, M.A. C.C.C.

• 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 Aug 20, 2019; 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.