Angela M. Pearson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008502 Issued in NY

Practice address

4002 State Route 9G # 1
Germantown, NY 12526-5744

Phone

(518) 537-4199

Fax

(518) 537-2100

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1912033713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 STATE ROUTE 9G # 1",
            "city": "GERMANTOWN",
            "state": "NY",
            "postal_code": "125265744",
            "telephone_number": "518-537-4199",
            "fax_number": "518-537-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 STATE ROUTE 9G # 1",
            "city": "GERMANTOWN",
            "state": "NY",
            "postal_code": "125265744",
            "telephone_number": "518-537-4199",
            "fax_number": "518-537-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "ANGELA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE CARRIER",
            "identifier": "P00297782",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION",
            "identifier": "C08502-9",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Bernockie NP in Family Health PLLC
• Cornelia McGiver, MS SLP CCC
• John Alan Metzger, LCSW
• Christiane Marie Mueller
• Amy Quynh an Nguyen-Kelly, OTR/L
• Jennie Claire Portney, CCC-SLP
• Mark Randall, LICSW
• William Leoncio Rosado, PTA
• Michael Anthony Serrapica, LCSW
• Leslie Rebecca Tompkins

• Chiropractor in Germantown, NY
• Providers in Germantown, 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 27, 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.

Verify at the official NPI Registry.