Active NPI
Barry Craig Schlesinger, D.C.
- Chiropractor
- Lake Grove, NY
National Provider Identifier
1801110507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X005830-1
- Practice address
- 1158 Stony Brook Road
Lake Grove, NY 11755-1610 - Phone
- (631) 737-2867
- Fax
- (631) 737-2867
- NPI assigned
- Mar 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | X005830-1 | NY | Primary |
| Chiropractor | 111N00000X | 0060000869 | VT |
Addresses
Primary practice location
1158 Stony Brook Road
Lake Grove, NY 11755-1610
Mailing address
1158 Stony Brook Road
Lake Grove, NY 11755-1610
Phone (631) 737-2867
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C05830-7 | Other | NY | WORKER'S COMPENSATION BOARD |
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 |
|---|---|---|---|
| X005830-1 | NY | MD | Chiropractor |
| 0060000869 | VT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1801110507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1158 STONY BROOK ROAD",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117551610",
"telephone_number": "631-737-2867",
"fax_number": "631-737-2867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1158 STONY BROOK ROAD",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117551610",
"telephone_number": "631-737-2867",
"fax_number": "631-737-2867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLESINGER",
"first_name": "BARRY",
"middle_name": "CRAIG",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-24",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X005830-1",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VT",
"license": "0060000869",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMPENSATION BOARD",
"identifier": "C05830-7",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Grove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.