Individual provider Active NPI

James Lambert, DC

  • Chiropractor
  • Ronkonkoma, NY
National Provider Identifier
1629014923
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X4362 Issued in NY
Practice address
2805 Veterans Memorial Hwy
Suite 8
Ronkonkoma, NY 11779-7647
Phone
(631) 738-9539
Fax
(631) 738-8500
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X4362 NY Primary

Addresses

Primary practice location

2805 Veterans Memorial Hwy
Suite 8
Ronkonkoma, NY 11779-7647

Mailing address

2805 Veterans Memorial Hwy
Suite 8
Ronkonkoma, NY 11779-7647
Phone (631) 738-9539

Other identifiers 18

IdentifierTypeStateIssuer
0012094OtherNYGHI PROV ID#
050004362NY01OtherNYANTHEM PROV ID#
2004029OtherNYAETNA PROV ID#
4543081OtherNYACN GROUP PROV ID #
927432OtherNYMPN PROV ID #
P-60721490OtherNYMULTIPLAN PROV ID #
P412489OtherNYOXFORD PROV ID #
04362-2OtherNYWORKERS COMP BOARD #
37820POtherNYHIP/PRISM #
AA46887OtherNYMDNY PROV ID#
37296OtherNYICM PROVIDER ID#
4543081OtherNYUNITED HEALTHCARE ID #
2457OtherNYVYTRA ID #
34255OtherNYHEALTHNET PROV ID #
X9K15OtherNYEMPIRE BC/BS
107741300OtherNYACS/NYS DEPT OF LABOR
938180OtherNYPHS ID #
P00076567OtherNYRAILROAD MEDICARE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041214000355 NY Practitioner - Chiropractic 2466419296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2805 Veterans Memorial Hwy
Suite 8
Ronkonkoma, NY 11779-7680
Phone (631) 738-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X4362NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Li Integrated Chiropractic Physical Therapy & Acupuncture PLLC Chiropractor CurrentSince May 4, 2019 Accepting new patients
Connetquot Chiropractic Chiropractor Past Accepting new patients
Li Medical Supply LLC PastSince Apr 21, 2020 Accepting new patients

Locations

2805 Veterans Memorial Hwy
Ste 8
Ronkonkoma, NY 11779
Phone (631) 738-8300

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629014923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 8",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797647",
            "telephone_number": "631-738-9539",
            "fax_number": "631-738-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 8",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797647",
            "telephone_number": "631-738-9539",
            "fax_number": "631-738-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "JAMES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X4362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROV ID#",
            "identifier": "0012094",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROV ID#",
            "identifier": "050004362NY01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROV ID#",
            "identifier": "2004029",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP PROV ID #",
            "identifier": "4543081",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPN PROV ID #",
            "identifier": "927432",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN PROV ID #",
            "identifier": "P-60721490",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROV ID #",
            "identifier": "P412489",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP BOARD #",
            "identifier": "04362-2",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP/PRISM #",
            "identifier": "37820P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY PROV ID#",
            "identifier": "AA46887",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICM PROVIDER ID#",
            "identifier": "37296",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID #",
            "identifier": "4543081",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA ID #",
            "identifier": "2457",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PROV ID #",
            "identifier": "34255",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "X9K15",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS/NYS DEPT OF LABOR",
            "identifier": "107741300",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS ID #",
            "identifier": "938180",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "P00076567",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.