Paul F Lewandowski, D.C., C.C.S.P.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

X005903-1 Issued in NY

Practice address

802 Route 50
Burnt Hills, NY 12027-9584

Phone

(518) 399-2225

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1487619987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 EASTERN AVE",
            "city": "CHARLTON",
            "state": "NY",
            "postal_code": "120192911",
            "telephone_number": "518-882-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279584",
            "telephone_number": "518-399-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWANDOWSKI",
        "first_name": "PAUL",
        "middle_name": "F",
        "credential": "D.C., C.C.S.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X005903-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION",
            "identifier": "X005903-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie J Lake, PA
• Tara L Lamalfa, LCSW
• Richard Brian Lamanna, DDS
• Nicole Lasher
• Maria Ann Leclaire
• Howard S Malamood, M.D.
• Kiersten Marjoribanks
• Mark John Metwally, MD
• Donald R Morere Jr., M.D.
• Nicole Marie Morroni, N.P.

• Sports Physician Chiropractor in Burnt Hills, NY
• Providers in Burnt Hills, NY by specialty
• Sports Physician Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.