Organization Active NPI

Patrick M Malouf DC PC

  • Chiropractor
  • Beacon, NY
National Provider Identifier
1760521231
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9120-1 Issued in NY
Legal business name
PATRICK M MALOUF DC PC
Doing business as
Advanced Spinal Center
Practice address
1181 North Ave
Beacon, NY 12508
Phone
(845) 831-3059
Fax
(845) 838-2885
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Patrick M Malouf, DC
Title
President
Phone
(845) 831-3059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9120-1 NY Primary

Addresses

Primary practice location

1181 North Ave
Beacon, NY 12508

Mailing address

1181 North Ave
Beacon, NY 12508
Phone (845) 831-3059

Other identifiers 1

IdentifierTypeStateIssuer
X8X25OtherNYBLUE CROSS BLUE SHIELD

Other names 1

  • Advanced Spinal Center Doing business as

National Provider Directory

National Provider Directory

Locations

1181 North Ave
Beacon, NY 12508
Phone (845) 831-1225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760521231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 NORTH AVE",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "12508",
            "telephone_number": "845-831-3059",
            "fax_number": "845-838-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 NORTH AVE",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "12508",
            "telephone_number": "845-831-3059",
            "fax_number": "845-838-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK M MALOUF DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALOUF",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-831-3059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "9120-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X8X25",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Spinal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beacon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.