Edward J Galvin Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X005645-1 Issued in NY

Practice address

11 4TH Ave
Oswego, NY 13126-1852

Phone

(315) 342-6151

Fax

(315) 342-8548

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Port City Chiropractic, PC

  • Chiropractor
  • Oswego, NY
  • NPI 1871594192
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710191556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 4TH AVE",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261852",
            "telephone_number": "315-342-6151",
            "fax_number": "315-342-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 4TH AVE",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261852",
            "telephone_number": "315-342-6151",
            "fax_number": "315-342-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVIN",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005645-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Futia, PTA
• Brian T Gabak
• Sarah Michele Gaffney, OT
• Joan Marie Gallagher, M.A., CCC-SLP
• Teyler Thomas Galletta
• Stephanie Gamboa
• Ashton Elizabeth Gangemi, M.A.
• Jessica Lynn Gann, COTA/L
• Kara Gantos, M.S. OTR/L
• Elizabeth A Gardner

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.