Active NPI
Mark A Ulmann, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1407064017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3867-1
- Practice address
- 123 W 79TH St
4TH Floor
New York, NY 10024-6480 - Phone
- (212) 873-6004
- Fax
- (212) 875-0975
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3867-1 | NY | Primary |
Addresses
Primary practice location
123 W 79TH St
4TH Floor
New York, NY 10024-6480
Mailing address
8 5TH Ave
Port Washington, NY 11050-3521
Phone (516) 487-0851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3867-1 | NY | MD | Chiropractor |
| 003867 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1407064017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 5TH AVE",
"city": "PORT WASHINGTON",
"state": "NY",
"postal_code": "110503521",
"telephone_number": "516-487-0851",
"fax_number": "212-875-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 W 79TH ST",
"address_2": "4TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100246480",
"telephone_number": "212-873-6004",
"fax_number": "212-875-0975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULMANN",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "3867-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.