Active NPI
Ray Pollard Jr., LMT
- Other Technician
- West Hurley, NY
National Provider Identifier
1629227103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 005081-1
- Practice address
- 1314 RT. 28
West Hurley, NY 12491 - Phone
- (845) 679-1253
- Fax
- (845) 679-3217
- NPI assigned
- Sep 9, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 005081-1 | NY | Primary |
Addresses
Primary practice location
1314 RT. 28
West Hurley, NY 12491
Mailing address
PO Box 3202
Kingston, NY 12402-3202
Phone (845) 679-1253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005081-1 | Other | NY | UNIVERSITY OF THE STATE OF NY EDUCATION DEPARTMENT |
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 |
|---|---|---|---|
| 005081-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donoghue Chiropractic PC | Past | Accepting new patients | |
| Upstate Chiropractic Care P.C. | Past | Accepting new patients |
Organizations & group practices 2
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
- West Hurley, NY
- NPI 1891976973
-
- Chiropractor
- West Hurley, NY
- NPI 1760998330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1629227103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3202",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124023202",
"telephone_number": "845-679-1253",
"fax_number": "845-679-3217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 RT. 28",
"city": "WEST HURLEY",
"state": "NY",
"postal_code": "12491",
"telephone_number": "845-679-1253",
"fax_number": "845-679-3217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLARD",
"first_name": "RAY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-09",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NY",
"license": "005081-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY OF THE STATE OF NY EDUCATION DEPARTMENT",
"identifier": "005081-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Hurley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.