Thomas J Larosa, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X004723 Issued in NY

Practice address

76 Boniface Dr Ste 2
Pine Bush, NY 12566-4611

Phone

(845) 744-2244

Fax

(845) 744-6153

NPI assigned

Oct 27, 2006

Last updated

Aug 19, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Thomas J. Larosa DC PC

  • Medical Specialty Clinic/Center
  • Pine Bush, NY
  • NPI 1821390048
  Authorized official Same address or phone

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1609952399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1272",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125661272",
            "telephone_number": "845-744-2244",
            "fax_number": "845-744-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BONIFACE DR STE 2",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125664611",
            "telephone_number": "845-744-2244",
            "fax_number": "845-744-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROSA",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Pine Bush, NY
• Providers in Pine Bush, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.