Patrick Newman, DC
Individual provider Active NPI Chiropractor · Clifton Park, NY
NPI 1740720309 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1740720309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- X012946-1 (NY)
- Practice address
- 653 Plank Rd
Clifton Park, NY 12065-3027 - Phone
- (518) 383-5595
- NPI assigned
- Mar 2, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
653 Plank Rd
Clifton Park, NY 12065-3027
Phone (518) 383-5595
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171206002913 | NY | Practitioner - Chiropractic | 1850658410 | Practice locations: Clifton Park, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009748 | GA | MD | Chiropractor |
| X012946-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lift Chiropractic PLLC | Chiropractor | Current | Accepting new patients |
| Ferguson Family Chiropractic, PLLC | Chiropractor | Past |
Accepting new patients |
Locations
653 Plank Rd
Clifton Park, NY 12065
Phone (518) 331-6294
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009748 | GA | |
| Chiropractor | 111N00000X | X012946-1 | NY | Yes |
Addresses
Primary practice location
653 Plank Rd
Clifton Park, NY 12065-3027
Mailing address
2255 Cumberland Pkwy SE
Building 900
Atlanta, GA 30339-4515
Phone (770) 727-6026
Other practice location 1
2255 Cumberland Pkwy SE
Building 900
Atlanta, GA 30339-4515
Phone (770) 727-6026
NPI Registry JSON
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1740720309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 CUMBERLAND PKWY SE",
"address_2": "BUILDING 900",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303394515",
"telephone_number": "770-727-6026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 PLANK RD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653027",
"telephone_number": "518-383-5595"
}
],
"practiceLocations": [
{
"address_1": "2255 Cumberland Pkwy SE",
"address_2": "Building 900",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303394515",
"country_code": "US",
"telephone_number": "770-727-6026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWMAN",
"first_name": "PATRICK",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009748",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X012946-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton Park, NY
- New Heights LCSW PLLC
- New York Dialysis Services, Inc
- New York Pain Management PLLC
- Patricia Anne Newhall
- Chante Newman
- Newmeadow, Inc.
- Abby Newton
- Ngan Nguyen
- Quan-Vinh Ba Nguyen
- Darrell R. Ni
All providers in Clifton Park, NY · Chiropractor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.