Lifesource Chiropractic P.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009921 Issued in NY

Legal business name

LIFESOURCE CHIROPRACTIC P.C

Practice address

535 5TH Ave
Suite 920
New York, NY 10017-3620

Phone

(212) 286-0888

Fax

(212) 286-9726

NPI assigned

Dec 4, 2007

Last updated

Jan 6, 2016By 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

Dr. Nicholas Joseph Ungaro, DCNPI 1841324019

Title

Owner

Phone

(212) 286-0888

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Nicholas Joseph Ungaro, D.C.

  • Chiropractor
  • New York, NY
  • NPI 1841324019
  NPD (past) Authorized official
• David Sacks, DC

  • Chiropractor
  • New York, NY
  • NPI 1245409069
  NPD (past)
• Durre Siddiqui, D.C.

  • Chiropractor
  • New York, NY
  • NPI 1992080162
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1700068491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 5TH AVE",
            "address_2": "SUITE 920",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173620",
            "telephone_number": "917-861-2472",
            "fax_number": "866-291-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 5TH AVE",
            "address_2": "SUITE 920",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173620",
            "telephone_number": "212-286-0888",
            "fax_number": "212-286-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESOURCE CHIROPRACTIC P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "UNGARO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-286-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifecare Dialysis Center Inc (Life Care Dialysis Center)
• Lifecycle Therapeutic Services Limited Liability Company
• Lifeforce Medical PA
• Lifeline Medical Testing PLLC
• Lifemd Inc
• Lifespire, Inc.
• Lifespire, Inc.
• Lifespire, Inc.
• Lifestart
• Lifestart

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.