Active NPI
Robert Ellek Ladyzhensky, D.C.
- Chiropractor
- Brooklyn, NY
National Provider Identifier
1891043733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 70012246
- Practice address
- 140 87TH St
Brooklyn, NY 11209-4916 - Phone
- (941) 447-9458
- NPI assigned
- Aug 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 10724 | FL | |
| Chiropractor | 111N00000X | 70012246 | NY | Primary |
Addresses
Primary practice location
140 87TH St
Brooklyn, NY 11209-4916
Mailing address
140 87TH St
Brooklyn, NY 11209-4916
Phone (941) 447-9458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 10724 | FL | MD | Chiropractor |
| 70012246 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350000000000",
"number": "1891043733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 87TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112094916",
"telephone_number": "941-447-9458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 87TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112094916",
"telephone_number": "941-447-9458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADYZHENSKY",
"first_name": "ROBERT",
"middle_name": "ELLEK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-27",
"last_updated": "2012-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH 10724",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "70012246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.