Organization Active NPI

Thomas J. Larosa DC PC

  • Medical Specialty Clinic/Center
  • Pine Bush, NY
National Provider Identifier
1821390048
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
X04723-1 Issued in NY
Legal business name
THOMAS J. LAROSA DC PC
Practice address
76 Boniface Dr Ste 2
Pine Bush, NY 12566-4611
Phone
(845) 744-2244
Fax
(845) 744-6153
NPI assigned
Nov 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Thomas J Larosa, DC
Title
Director
Phone
(845) 744-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X X04723-1 NY Primary

Addresses

Primary practice location

76 Boniface Dr Ste 2
Pine Bush, NY 12566-4611

Mailing address

PO Box 1272
Pine Bush, NY 12566-1272
Phone (845) 744-2244

National Provider Directory

National Provider Directory

Locations

76 Boniface Dr
Ste 2
Pine Bush, NY 12566
Phone (845) 744-2244

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1821390048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1272",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125661272",
            "telephone_number": "845-744-2244",
            "fax_number": "845-744-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BONIFACE DR STE 2",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125664611",
            "telephone_number": "845-744-2244",
            "fax_number": "845-744-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. LAROSA DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "LAROSA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-744-2244",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "X04723-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.