Active NPI
Thomas J. Larosa DC PC
- Medical Specialty Clinic/Center
- Pine Bush, NY
National Provider Identifier
1821390048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- X04723-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.