Port City Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X005645-1 Issued in NY

Legal business name

PORT CITY CHIROPRACTIC, PC

Practice address

11 Fourth Ave
Oswego, NY 13126-1852

Phone

(315) 342-6151

Fax

(315) 342-8548

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Edward James Galvin Jr., D.C.NPI 1710191556

Title

Owner

Phone

(315) 342-6151

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward J Galvin Jr., D.C.

  • Chiropractor
  • Oswego, NY
  • NPI 1710191556
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1871594192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FOURTH AVE",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261852",
            "telephone_number": "315-342-6151",
            "fax_number": "315-342-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FOURTH AVE",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261852",
            "telephone_number": "315-342-6151",
            "fax_number": "315-342-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "GALVIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-342-6151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005645-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BC/BS",
            "identifier": "888021393",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Rovere Pitonzo
• Elmer F Plantz Jr., NNP
• Podiatry Services of Central New York, PC
• Kathleen F Pollard, LMSW
• Pontiac Nursing Home LLC
• Port City Emergency Physicians LLP
• Port City ENT and Allergy Care P C
• Port City Family Medicine P.C. Inc
• Port City Psychotherapy and Psychological Services
• Susannah Postgate

• Chiropractor in Oswego, NY
• Providers in Oswego, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.