Organization Active NPI

Amey J Muzumdar DC SC

  • Clinic/Center
  • Westmont, IL
National Provider Identifier
1376896076
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
042620047 Issued in IL
Legal business name
AMEY J MUZUMDAR DC SC
Practice address
850 N Cass Ave
Suite 101
Westmont, IL 60559-1394
Phone
(630) 567-1007
Fax
(630) 325-8220
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Dr. Amey J Muzumdar, D.C.NPI 1891013488
Title
Owner
Phone
(630) 567-1007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 042620047 IL Primary

Addresses

Primary practice location

850 N Cass Ave
Suite 101
Westmont, IL 60559-1394

Mailing address

1303 Midwest Club Pkwy
Oak Brook, IL 60523-2519
Phone (630) 567-1007

Other names 1

  • Genuine Care Health and Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130501000238 IL Part B Supplier - Clinic/Group Practice 3072750538 Receives reassigned benefits from 1 practitioner
Practice locations: Westmont, IL

National Provider Directory

National Provider Directory

Locations

850 N Cass Ave
Ste 101
Westmont, IL 60559
Phone (630) 353-5250

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1376896076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 MIDWEST CLUB PKWY",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232519",
            "telephone_number": "630-567-1007",
            "fax_number": "630-325-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N CASS AVE",
            "address_2": "SUITE 101",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591394",
            "telephone_number": "630-567-1007",
            "fax_number": "630-325-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEY J MUZUMDAR DC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "MUZUMDAR",
        "authorized_official_first_name": "AMEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-567-1007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "042620047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genuine Care Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.