Active NPI
Ivy Lee, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1609195023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010745
- Practice address
- 191 Canal St
Room 603
New York, NY 10013-4524 - Phone
- (917) 981-9581
- Fax
- (212) 219-0148
- NPI assigned
- May 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X010745 | NY | Primary |
Addresses
Primary practice location
191 Canal St
Room 603
New York, NY 10013-4524
Mailing address
PO Box 130403
New York, NY 10013-0995
Phone (917) 981-9581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X010745 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274745600000",
"number": "1609195023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130403",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100130995",
"telephone_number": "917-981-9581",
"fax_number": "212-219-0148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 CANAL ST",
"address_2": "ROOM 603",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134524",
"telephone_number": "917-981-9581",
"fax_number": "212-219-0148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "IVY",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-25",
"last_updated": "2010-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010745",
"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 May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.