Active NPI
Joseph E Pfeifer, D.C.
- Sports Physician Chiropractor
- Lake Grove, NY
National Provider Identifier
1619027455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- X004179
- Practice address
- 881 Hawkins Ave
Lake Grove, NY 11755-1601 - Phone
- (631) 588-3388
- Fax
- (631) 588-5968
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | X004179 | NY | |
| Sports Physician Chiropractor | 111NS0005X | X004179 | NY | Primary |
| Chiropractor | 111N00000X | X004179 | NY |
Addresses
Primary practice location
881 Hawkins Ave
Lake Grove, NY 11755-1601
Mailing address
881 Hawkins Ave
Lake Grove, NY 11755-1601
Phone (631) 588-3388
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26904 | Other | NY | GHI |
| 1025707 | Other | NY | AETNA |
| 125619 | Other | NY | ACN |
| C04179-0 | Other | NY | WORKERS' COMP |
| SF00000371 | Other | NY | SELECT PRO |
| X8851 | Other | NY | BLUE CHOICE |
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 |
|---|---|---|---|
| X004179 | NY | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast College of Health Sciences | Chiropractor | Past | Accepting new patients |
| New York Neurology and Medical Services P.C | Neurology | Past | Accepting new patients |
| Lake Grove Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Lake Grove, NY
- NPI 1407029853
-
- Neurology Physician
- Great Neck, NY
- NPI 1518396308
-
- Chiropractor
- Levittown, NY
- NPI 1932260445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1619027455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "881 HAWKINS AVE",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117551601",
"telephone_number": "631-588-3388",
"fax_number": "631-588-5968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "881 HAWKINS AVE",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117551601",
"telephone_number": "631-588-3388",
"fax_number": "631-588-5968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFEIFER",
"first_name": "JOSEPH",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "NY",
"license": "X004179",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NY",
"license": "X004179",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X004179",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "26904",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1025707",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "125619",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS' COMP",
"identifier": "C04179-0",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT PRO",
"identifier": "SF00000371",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "X8851",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Grove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.