Organization Active NPI

Hudson Valley Wellness & Chirpractic, PC

  • Chiropractor
  • Pine Bush, NY
National Provider Identifier
1457520082
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X06006-3 Issued in NY
Legal business name
HUDSON VALLEY WELLNESS & CHIRPRACTIC, PC
Practice address
103 Maple Avenue
RT 302
Pine Bush, NY 12566-0149
Phone
(845) 744-2420
Fax
(845) 744-2429
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Dr. Thomas Paul Zwart, DCNPI 1487614657
Title
Owner
Phone
(845) 744-2420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X X06006-3 NY Primary

Addresses

Primary practice location

103 Maple Avenue
RT 302
Pine Bush, NY 12566-0149

Mailing address

PO Box 149
Pine Bush, NY 12566-0149
Phone (845) 744-2420

Other names 1

  • Hudson Valley Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080307000111 NY Part B Supplier - Clinic/Group Practice 5698850253 Receives reassigned benefits from 1 practitioner
Practice locations: Pine Bush, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1457520082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125660149",
            "telephone_number": "845-744-2420",
            "fax_number": "845-744-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MAPLE AVENUE",
            "address_2": "RT 302",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125660149",
            "telephone_number": "845-744-2420",
            "fax_number": "845-744-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON VALLEY WELLNESS & CHIRPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "ZWART",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-744-2420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X06006-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Valley Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pine Bush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.