Active NPI
Thomas Henry Golebiewski, D.C.
- Chiropractor
- Vestal, NY
National Provider Identifier
1407934748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X009336-1
- Practice address
- 109 Rano Blvd
Lower Level
Vestal, NY 13850-2729 - Phone
- (607) 231-5000
- Fax
- (607) 231-5111
- NPI assigned
- Nov 2, 2006
- 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 | X009336-1 | NY | Primary |
Addresses
Primary practice location
109 Rano Blvd
Lower Level
Vestal, NY 13850-2729
Mailing address
109 Rano Blvd
Lower Level
Vestal, NY 13850-2729
Phone (607) 231-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120104000285 | NY | Practitioner - Chiropractic | 9032385562 | Practice locations: Vestal, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
109 Rano Blvd
Vestal, NY 13850-2729
Phone (607) 231-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X009336-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407934748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 RANO BLVD",
"address_2": "LOWER LEVEL",
"city": "VESTAL",
"state": "NY",
"postal_code": "138502729",
"telephone_number": "607-231-5000",
"fax_number": "607-231-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 RANO BLVD",
"address_2": "LOWER LEVEL",
"city": "VESTAL",
"state": "NY",
"postal_code": "138502729",
"telephone_number": "607-231-5000",
"fax_number": "607-231-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLEBIEWSKI",
"first_name": "THOMAS",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X009336-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.