Individual provider Active NPI

Albert Scott Lakernick, D.C.

  • Neurology Chiropractor
  • Prospect Park, PA
National Provider Identifier
1447233747
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
DC004519L Issued in PA
Practice address
625 Chester Pike
Prospect Park, PA 19076-1506
Phone
(610) 534-4776
Fax
(610) 534-7245
NPI assigned
Nov 22, 2005
Last updated
Aug 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X DC004519L PA Primary

Addresses

Primary practice location

625 Chester Pike
Prospect Park, PA 19076-1506

Mailing address

625 Chester Pike
Prospect Park, PA 19076-1506
Phone (610) 534-4776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120215000104 PA Practitioner - ChiropracticPractitioner - Neurology 7719145150 Practice locations: Morton, PA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Neurology
Education
Life Chiropractic College, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

61 S Morton Ave
Suite 6
Morton, PA 19070-1740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC004519LPAMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Wellness Center Neurology PastSince Dec 3, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1447233747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CHESTER PIKE",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190761506",
            "telephone_number": "610-534-4776",
            "fax_number": "610-534-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CHESTER PIKE",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190761506",
            "telephone_number": "610-534-4776",
            "fax_number": "610-534-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKERNICK",
        "first_name": "ALBERT",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "PA",
            "license": "DC004519L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect Park, PA

Sources for this page

Verify at the official NPI Registry.