Active NPI
Andy T Lam, DC
- Chiropractor
- Harrison, NY
National Provider Identifier
1740958776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 013616
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 013616 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrison Chiropractic PC | Chiropractor | Current | Accepting new patients |
| West Hartford Chiropractic LLC | Chiropractor | Past | 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.
-
- Chiropractor
- West Hartford, CT
- NPI 1538339619
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.