Organization Active NPI

Restoration Medical Center

  • Naprapath
  • Poughkeepsie, NY
National Provider Identifier
1922634674
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
Legal business name
RESTORATION MEDICAL CENTER
Practice address
4 Jefferson PLZ
Poughkeepsie, NY 12601-4035
Phone
(845) 232-5004
Fax
(845) 232-5093
NPI assigned
Mar 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Dr. Shamar Williams, NMD
Title
Ceo
Phone
(845) 464-4036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaprapathGroup: 193200000X MULTI-SPECIALTY GROUP 172P00000X Primary

Addresses

Primary practice location

4 Jefferson PLZ
Poughkeepsie, NY 12601-4035

Mailing address

4 Jefferson PLZ
Poughkeepsie, NY 12601-4035
Phone (845) 232-5004

National Provider Directory

National Provider Directory

Locations

4 Jefferson Plz
Poughkeepsie, NY 12601
Phone (845) 464-4036

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1922634674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JEFFERSON PLZ",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014035",
            "telephone_number": "845-232-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JEFFERSON PLZ",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014035",
            "telephone_number": "845-232-5004",
            "fax_number": "845-232-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHAMAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-464-4036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NMD"
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naprapath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.