Active NPI
Laura Roos, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1912320409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 012546
- Practice address
- 20 W 22ND St
Suite 1402
New York, NY 10010-5804 - Phone
- (646) 780-0719
- NPI assigned
- Feb 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 38MC00714900 | NJ | |
| Chiropractor | 111N00000X | 012546 | NY | Primary |
Addresses
Primary practice location
20 W 22ND St
Suite 1402
New York, NY 10010-5804
Mailing address
89 5TH Ave Ste 604
New York, NY 10003-3020
Phone (646) 780-0719
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012546 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507075200000",
"number": "1912320409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 5TH AVE STE 604",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033020",
"telephone_number": "646-780-0719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W 22ND ST",
"address_2": "SUITE 1402",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100105804",
"telephone_number": "646-780-0719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROOS",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-04",
"last_updated": "2017-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00714900",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "012546",
"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 Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.