Active NPI
Ronald Lavine, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1447261060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- C02664
- Practice address
- 928 Broadway Ste 1200
New York, NY 10010-8106 - Phone
- (212) 400-9663
- NPI assigned
- Aug 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00432600 | NJ | |
| Chiropractor | 111N00000X | C02664 | NY | Primary |
Addresses
Primary practice location
928 Broadway Ste 1200
New York, NY 10010-8106
Mailing address
928 Broadway Ste 1200
New York, NY 10010-8106
Phone (212) 400-9663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040917000377 | NJ | Practitioner - Chiropractic | 2163490228 | Practice locations: Princeton, NJ |
| I20111108000219 | NY | Practitioner - Chiropractic | 2163490228 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
166 Bunn Dr
Princeton, NJ 08540-2800
Phone (609) 497-1944
928 Broadway
Suite 1200
New York, NY 10010-8106
Phone (212) 400-9603
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C02664 | NY | MD | Chiropractor |
| 002664 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1447261060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 BROADWAY STE 1200",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100108106",
"telephone_number": "212-400-9663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 BROADWAY STE 1200",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100108106",
"telephone_number": "212-400-9663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVINE",
"first_name": "RONALD",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00432600",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "C02664",
"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 Apr 14, 2023; 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.