East Greenbush Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EAST GREENBUSH CHIROPRACTIC PLLC

Practice address

569 Columbia Turnpike
East Greenbush, NY 12061

Phone

(518) 477-5000

Fax

(518) 477-5009

NPI assigned

Oct 18, 2018

Last updated

Oct 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lee Irish

Title

Billing Manager

Phone

(518) 477-5000

Specialties & licenses 1

Addresses

Other names 1

• East Greenbush Chiropractic Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

East Greenbush Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• East Greenbush Chiropractic PLLC

  • Chiropractor
  • East Greenbush, NY
  • NPI 1245706613
  NPD tax ID

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Michael Kelly, DC

  • Chiropractor
  • East Greenbush, NY
  • NPI 1730218736
  Medicare reassignment NPD
• Justin Kyle Amy, D.C.

  • Chiropractor
  • Albany, NY
  • NPI 1356749097
  NPD
• Mitchell Andrew Araya

  • Chiropractor
  • Amsterdam, NY
  • NPI 1881573814
  NPD
• Barbara Passin, DC

  • Chiropractor
  • East Greenbush, NY
  • NPI 1255100285
  NPD
• Kylie Salerno, DC

  • Chiropractor
  • East Greenbush, NY
  • NPI 1861313553
  NPD
• Brian Edward Sweeney, DC

  • Chiropractor
  • Albany, NY
  • NPI 1528032133
  NPD
• Amy Lee Burelson, D.C.

  • Chiropractor
  • East Greenbush, NY
  • NPI 1154531457
  NPD (past)
• Mary Joan Ciani, PT

  • Physical Therapist
  • Greenville, NY
  • NPI 1871682880
  NPD (past)
• Keri Ann Hagenston, D.C.

  • Chiropractor
  • Albany, NY
  • NPI 1497916902
  NPD (past)
• David Paul Kingwater II, D.C.

  • Chiropractor
  • Whitesboro, NY
  • NPI 1730191891
  NPD (past)
• Tricia J Pasos, DC

  • Chiropractor
  • Greenwich, NY
  • NPI 1013056852
  NPD (past)
• Robert W Kipp Jr., D.C.

  • Chiropractor
  • Southport, CT
  • NPI 1871573329
  NPD (past)

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1639645419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 COLUMBIA TPKE",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120611621",
            "telephone_number": "518-477-5000",
            "fax_number": "518-477-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 COLUMBIA TURNPIKE",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "12061",
            "telephone_number": "518-477-5000",
            "fax_number": "518-477-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST GREENBUSH CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "IRISH",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "518-477-5000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Greenbush Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Renessa Dunkley
• East Greenbush Central School District
• East Greenbush Central School District
• East Greenbush Chiropractic
• East Greenbush Chiropractic PLLC
• East Greenbush CSD
• East Greenbush Schools
• Ecrnc LLC (Evergreen Commons Rehabilitation and Nursing Center)
• Zaliyah Edwards
• Saury Damaris Elfeldt, RPH

• Chiropractor in East Greenbush, NY
• Providers in East Greenbush, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.