Individual provider Active NPI

Thomas Joseph Pollet, DC

  • Chiropractor
  • Commack, NY
National Provider Identifier
1649786187
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013038 Issued in NY
Practice address
6080 Jericho Tpke Ste 305
Commack, NY 11725-2808
Phone
(631) 499-6180
Fax
(631) 499-6018
NPI assigned
Dec 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013038 NY Primary

Addresses

Primary practice location

6080 Jericho Tpke Ste 305
Commack, NY 11725-2808

Mailing address

6080 Jericho Tpke Ste 305
Commack, NY 11725-2808
Phone (631) 499-6180

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180226000595 NY Practitioner - Chiropractic 5092076596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr David Ackerman DC PCGroup PAC ID 0941429013, 4 clinicians

Practice addresses (Care Compare)

6080 Jericho Tpke
Suite 305
Commack, NY 11725-2808
Phone (631) 499-6180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013038NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. David Ackerman DC PC Chiropractor CurrentSince Dec 19, 2019 Accepting new patients

Locations

6080 Jericho Tpke
Ste 305
Commack, NY 11725
Phone (631) 499-6180

Organizations & group practices 1

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": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1649786187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 JERICHO TPKE STE 305",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252808",
            "telephone_number": "631-499-6180",
            "fax_number": "631-499-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 JERICHO TPKE STE 305",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252808",
            "telephone_number": "631-499-6180",
            "fax_number": "631-499-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLET",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.