Malcolm L. Conway Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011432 Issued in PA

Practice address

540 Pierce St
Kingston, PA 18704-5760

Phone

(570) 287-7070

Fax

(570) 287-5575

NPI assigned

Nov 13, 2019

Last updated

Nov 13, 2019By the provider in NPPES

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 PA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conway Chiropractic PCGroup PAC ID 3476530205, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Conway Chiropractic PC

  dba Conway Clinic

  • Chiropractor
  • Wyoming, PA
  • NPI 1104951581
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1720623713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045760",
            "telephone_number": "570-287-7070",
            "fax_number": "570-287-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045760",
            "telephone_number": "570-287-7070",
            "fax_number": "570-287-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "MALCOLM",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commonwealth Physician Network LLC
• Compass Home Health & Rehab, LLC
• Compassionate Home Care of Northeastern PA, LLC
• Complete Home Care, Inc
• Comprehensive Family and Cosmetic Dental Center
• Robert E. Conway, D.D.S.
• Brian Cook, NCC, LPC
• Cook's Pharmacy LTC
• Cook's Pharmacy of Kingston Inc (Cooks Pharmacy of Kingston)
• Cooks Medical Care Co., Inc.

• Chiropractor in Kingston, PA
• Providers in Kingston, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.