Individual provider Active NPI

Claire Patricia Fitzpatrick, D.C.

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1679631139
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011090 Issued in NY
Practice address
181 Lexington Ave
Brooklyn, NY 11216-6446
Phone
(646) 797-3291
Fax
(833) 507-1330
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011090 NY Primary

Addresses

Primary practice location

181 Lexington Ave
Brooklyn, NY 11216-6446

Mailing address

181 Lexington Ave
Brooklyn, NY 11216-6446
Phone (646) 797-3291

Other practice location 1

15 Square Acre Dr
Stamford, CT 06905-1126
Phone (203) 252-6648

Other identifiers 1

IdentifierTypeStateIssuer
11652770OtherCTCAQH PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521001042 NY Practitioner - Chiropractic 6002257037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

181 Lexington Ave
Brooklyn, NY 11216-6446
Phone (646) 797-3291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peace Chiropractic Arts, PLLC Chiropractor CurrentSince Mar 24, 2024 Accepting new patients

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1679631139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 LEXINGTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112166446",
            "telephone_number": "646-797-3291",
            "fax_number": "833-507-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 LEXINGTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112166446",
            "telephone_number": "646-797-3291",
            "fax_number": "833-507-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Square Acre Dr",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069051126",
            "country_code": "US",
            "telephone_number": "203-252-6648",
            "fax_number": "203-588-9309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "CLAIRE",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11652770",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.