Adirondack Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X005212 Issued in NY

Legal business name

ADIRONDACK CHIROPRACTIC PC

Practice address

230 5TH Ave Ext
Gloversville, NY 12078-1820

Phone

(518) 773-2000

Fax

(518) 773-2663

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Jim P Tamulaitis, D.C.

Title

Owner

Phone

(518) 773-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Richard Joseph Jankunas Jr., DC

  • Chiropractor
  • Gloversville, NY
  • NPI 1134104938
  Medicare reassignment Care Compare group NPD
• Jim Tamulaits, DC

  • Chiropractor
  • Gloversville, NY
  • NPI 1194879411
  Medicare reassignment Care Compare group NPD
• Michael Patrick Boylan, DC

  • Chiropractor
  • Clifton Park, NY
  • NPI 1225136401
  NPD (past)

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1407093438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 5TH AVE EXT",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781820",
            "telephone_number": "518-773-2000",
            "fax_number": "518-773-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 5TH AVE EXT",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781820",
            "telephone_number": "518-773-2000",
            "fax_number": "518-773-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "TAMULAITIS",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-773-2000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE P10",
            "identifier": "51846B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Abbaticchio, LMSW
• Brittney Anne Abbott
• Lynn Marie Abrams, LPN
• Mariela J Abreu
• Active and Well Family Chiropractic, PLLC
• Adirondack Drug Inc
• Adirondack Stretcher and Ambulette, LLC
• Cassandra May Aiken, MA
• Lisa Albright
• Kousai O Ali Khan, PA

• All providers in Gloversville, NY
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.