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

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.

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 IDStateProvider typePAC IDDetails
I20171206002913 NY Practitioner - Chiropractic 1850658410 Practice locations: Clifton Park, NY

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CHIR009748GAMDChiropractor
X012946-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lift Chiropractic PLLC Chiropractor Current Accepting new patients
Ferguson Family Chiropractic, PLLC Chiropractor Past
since Jan 20, 2016
Accepting new patients

Locations

653 Plank Rd
Clifton Park, NY 12065
Phone (518) 331-6294

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2018.

{
    "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

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Sources for this page

Verify at the official NPI Registry.