Individual provider Active NPI

Barbara A. Ialacci-Pfeifer, D.C.

  • Chiropractor
  • Lake Grove, NY
National Provider Identifier
1720178627
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006497 Issued in NY
Practice address
881 Hawkins Ave
Lake Grove, NY 11755-1601
Phone
(631) 588-3388
Fax
(631) 588-5968
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X006497 NY Primary

Addresses

Primary practice location

881 Hawkins Ave
Lake Grove, NY 11755-1601

Mailing address

881 Hawkins Ave
Lake Grove, NY 11755-1601
Phone (631) 588-3388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006497NYMDMental Health Counselor
X006497NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Grove Chiropractic Chiropractor Past 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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1720178627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 HAWKINS AVE",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551601",
            "telephone_number": "631-588-3388",
            "fax_number": "631-588-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 HAWKINS AVE",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551601",
            "telephone_number": "631-588-3388",
            "fax_number": "631-588-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IALACCI-PFEIFER",
        "first_name": "BARBARA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Grove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.