Individual provider Active NPI

Lawrence Charles Peshkin, DC

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1447775366
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012996 Issued in NY
Practice address
2164 Hudson Ave
Rochester, NY 14617-3960
Phone
(585) 467-7070
Fax
(585) 467-7702
NPI assigned
Aug 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012996 NY Primary

Addresses

Primary practice location

2164 Hudson Ave
Rochester, NY 14617-3960

Mailing address

2164 Hudson Ave
Rochester, NY 14617-3960
Phone (585) 467-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210817000983 NY Practitioner - Chiropractic 4981009768 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Irondequoit Chiropractic, PLLC Chiropractor CurrentSince Apr 27, 2021 Accepting new patients
Steven Foley Chiropractor PastSince Apr 27, 2021 Accepting new patients

Locations

2164 Hudson Ave
Rochester, NY 14617
Phone (585) 467-7070

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447775366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2164 HUDSON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173960",
            "telephone_number": "585-467-7070",
            "fax_number": "585-467-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 HUDSON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173960",
            "telephone_number": "585-467-7070",
            "fax_number": "585-467-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESHKIN",
        "first_name": "LAWRENCE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.