Active NPI
Gwendolyn Rogers, Lac P-LLC
- Clinic/Center
- Endicott, NY
National Provider Identifier
1801702402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- GWENDOLYN ROGERS, LAC P-LLC
- Practice address
- 31 Adams Ave Ste 4
Endicott, NY 13760-5734 - Phone
- (607) 729-0591
- NPI assigned
- Aug 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gwendolyn Rogers, ND, LAC
- Title
- Owner/Practitioner
- Phone
- (503) 975-3256
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
31 Adams Ave Ste 4
Endicott, NY 13760-5734
Mailing address
1 John St
Ithaca, NY 14850-6350
Phone (503) 975-3256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134395221 | Other | OR | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
31 Adams Ave
Ste 4
Endicott, NY 13760
Phone (607) 729-0591
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Naturopath
- Endicott, NY
- NPI 1134917834
-
- Acupuncturist
- Johnson City, NY
- NPI 1104065283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787356800000",
"number": "1801702402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JOHN ST",
"city": "ITHACA",
"state": "NY",
"postal_code": "148506350",
"telephone_number": "503-975-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 ADAMS AVE STE 4",
"city": "ENDICOTT",
"state": "NY",
"postal_code": "137605734",
"telephone_number": "607-729-0591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GWENDOLYN ROGERS, LAC P-LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-22",
"last_updated": "2026-08-22",
"certification_date": "2026-08-22",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "GWENDOLYN",
"authorized_official_title_or_position": "OWNER/PRACTITIONER",
"authorized_official_telephone_number": "503-975-3256",
"authorized_official_credential": "ND, LAC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1134395221",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Endicott, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.