Individual provider Active NPI

Andy T Lam, DC

  • Chiropractor
  • Harrison, NY
National Provider Identifier
1740958776
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013616 Issued in NY
Practice address
550 Mamaroneck Ave Ste 307
Harrison, NY 10528-1615
Phone
(914) 619-5881
NPI assigned
Sep 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2241 CT
Chiropractor 111N00000X 013616 NY Primary

Addresses

Primary practice location

550 Mamaroneck Ave Ste 307
Harrison, NY 10528-1615

Mailing address

126 W Beach Dr
Stratford, CT 06615-7706
Phone (347) 282-3477

Other practice location 1

500 Summer St Ste 406
Stamford, CT 06901-1397
Phone (203) 355-2225

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
013616NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Chiropractic PC Chiropractor CurrentSince Jun 30, 2024 Accepting new patients
West Hartford Chiropractic LLC Chiropractor PastSince Sep 1, 2021 Accepting new patients

Locations

550 Mamaroneck Ave
Ste 307
Harrison, NY 10528
Phone (914) 619-5881

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.

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1740958776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W BEACH DR",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066157706",
            "telephone_number": "347-282-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MAMARONECK AVE STE 307",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281615",
            "telephone_number": "914-619-5881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Summer St Ste 406",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069011397",
            "country_code": "US",
            "telephone_number": "203-355-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "ANDY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2241",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.