Active NPI
George Robert Tolk, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1811031347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X003646
- Practice address
- 495 West End Avenue
Doctors Office
New York, NY 10024 - Phone
- (212) 496-0101
- Fax
- (212) 496-0206
- NPI assigned
- Feb 17, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X003646 | NY | Primary |
Addresses
Primary practice location
495 West End Avenue
Doctors Office
New York, NY 10024
Mailing address
495 West End Avenue
Doctors Office
New York, NY 10024
Phone (212) 496-0101
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GTOX206710 | Other | NY | ATN |
| P3199268 | Other | NY | OXF |
| 133199268 | Other | NY | UHC |
| GTOX206710 | Other | NY | PFG |
| 603827 | Other | NY | ACN |
| 0043662 | Other | NY | HF |
| 133199268 | Other | NY | HNE |
| 133199268 | Other | NY | GUARDIAN |
| 0043662 | Other | NY | GHI |
| 133199268 | Other | NY | CIGNA |
| GTOX206710 | Other | NY | COM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X003646 | NY | MD | Chiropractor |
| 003646 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West End Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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
- New York, NY
- NPI 1881822732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811031347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 WEST END AVENUE",
"address_2": "DOCTORS OFFICE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10024",
"telephone_number": "212-496-0101",
"fax_number": "212-496-0206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 WEST END AVENUE",
"address_2": "DOCTORS OFFICE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10024",
"telephone_number": "212-496-0101",
"fax_number": "212-496-0206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLK",
"first_name": "GEORGE",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X003646",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATN",
"identifier": "GTOX206710",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXF",
"identifier": "P3199268",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "133199268",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PFG",
"identifier": "GTOX206710",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "603827",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HF",
"identifier": "0043662",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HNE",
"identifier": "133199268",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GUARDIAN",
"identifier": "133199268",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0043662",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "133199268",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COM",
"identifier": "GTOX206710",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.