NPIMap

Organization Active NPI

Robert Lee Integrative Chiropractic & Acupuncture, P.C.

  • Chiropractor
  • Syosset, NY
National Provider Identifier
1871014274
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012933 Issued in NY
Legal business name
ROBERT LEE INTEGRATIVE CHIROPRACTIC & ACUPUNCTURE, P.C.
Practice address
2 Comet Rd Side
Syosset, NY 11791-6909
Phone
(917) 353-0953
NPI assigned
Jul 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Robert Seungmin Lee, DC, L.AC
Title
President
Phone
(516) 470-1826

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 012933 NY Primary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X 004025 NY
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 023434 NY

Addresses

Primary practice location

2 Comet Rd Side
Syosset, NY 11791-6909

Mailing address

2 Comet Rd Side
Syosset, NY 11791-6909
Phone (917) 353-0953

Other identifiers 1

IdentifierTypeStateIssuer
05469636MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871014274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COMET RD SIDE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916909",
            "telephone_number": "917-353-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COMET RD SIDE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916909",
            "telephone_number": "917-353-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LEE INTEGRATIVE CHIROPRACTIC & ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SEUNGMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-470-1826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, L.AC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012933",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004025",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "023434",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05469636",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.