Active NPI
Andrew Dube, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1891853057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010151
- Practice address
- 304 West 117TH Street
New York, NY 10026 - Phone
- (212) 678-7775
- Fax
- (917) 493-2078
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X010151 | NY | Primary |
Addresses
Primary practice location
304 West 117TH Street
New York, NY 10026
Mailing address
165 W 91St St
Apt 6G
New York, NY 10024-1314
Phone (917) 837-2054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050328001088 | NY | Practitioner - Chiropractic | 2769438266 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
304 W 117TH St
New York, NY 10026-1573
Phone (212) 678-7775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X010151 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251936000000",
"number": "1891853057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 W 91ST ST",
"address_2": "APT 6G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100241314",
"telephone_number": "917-837-2054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 WEST 117TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10026",
"telephone_number": "212-678-7775",
"fax_number": "917-493-2078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBE",
"first_name": "ANDREW",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2009-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010151",
"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 Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.