Individual provider Active NPI

Earvin Johnson Paul

  • Chiropractor
  • New York, NY
National Provider Identifier
1831593367
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013127-1 Issued in NY
Practice address
133 E 58TH St FL 15
New York, NY 10022-1236
Phone
(212) 751-8300
NPI assigned
Oct 13, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013127-1 NY Primary

Addresses

Primary practice location

133 E 58TH St FL 15
New York, NY 10022-1236

Mailing address

30 Williams Ave
Spring Valley, NY 10977-3006
Phone (845) 709-3281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250701003832 NY Practitioner - Chiropractic 4284986597 Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X013127-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas B. Seckendorf DC PC Current Accepting new patients
Madison Medical and Sports Rehabilitation L.L.C PastSince Nov 4, 2020 Accepting new patients

Locations

133 E 58th St
Fl 15
New York, NY 10022
Phone (212) 751-8300

Interoperability endpoints

  • Direct secure messaging: earvin.paul.2@30297.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1831593367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WILLIAMS AVE",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109773006",
            "telephone_number": "845-709-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 58TH ST FL 15",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221236",
            "telephone_number": "212-751-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "EARVIN",
        "middle_name": "JOHNSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-13",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013127-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.