Phuoc Ly, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

X009559 Issued in NY

Practice address

122 Bay 14TH St
Brooklyn, NY 11214-4512

Phone

(212) 387-8762

NPI assigned

Aug 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spinal Care & Chiropractic Services PLLC

  • Chiropractor
  • Elmhurst, NY
  • NPI 1851565519
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1932191624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 BAY 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144512",
            "telephone_number": "212-387-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 BAY 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112144512",
            "telephone_number": "212-387-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "PHUOC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X009559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie Ly
• Jennifer Ly
• Kerry Ly, PA-C
• Nam K. Ly, M.D.
• Nevin Ly
• Vanthanh Ly, M.D.
• Tatyana Lyakh
• Boris Lyakhovetsky, DDS
• Oleg Lyalin, DDS
• Stacy Lyamets

• Sports Physician Chiropractor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Sports Physician Chiropractor in New York

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