Active NPI
Donald Littlejohn II, DC
- Chiropractor
- Chester, NY
National Provider Identifier
1962401596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X4365-1
- Practice address
- 7 Academy Ave
Chester, NY 10918-1041 - Phone
- (845) 469-7575
- Fax
- (845) 469-9328
- NPI assigned
- Jul 15, 2005
- 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 | X4365-1 | NY | Primary |
Addresses
Primary practice location
7 Academy Ave
Chester, NY 10918-1041
Mailing address
7 Academy Ave
Chester, NY 10918-1041
Phone (845) 469-7575
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4470784 | Other | NY | AETNA PPO (DR NAME) |
| 10086242 | Other | NY | CDPHP |
| 261179200 | Other | NY | FEDERAL WORKERS' COMP |
| 1119494002 | Other | NY | CIGNA |
| 1C3863 | Other | NY | LANDMARK |
| 555513 | Other | NY | AETNA AUSCH DR. NAME |
| 76677 | Other | NY | AETNA AUSCH OFFICE ID |
| 000445141001 | Other | NY | HEALTHNOW (PRISM) |
| 0092949 | Other | NY | GHI ALIGNIS |
| C04365-5B | Other | NY | IME (WC) |
| P746592 | Other | NY | OXFORD |
| 05000436 SNY01 | Other | NY | ANTHEM HEALTH |
| 1513 | Other | NY | AMHC |
| 1C8858 | Other | NY | PHS |
| 22-2695629-01 | Other | NY | PRISM |
| X004365-N01 | Other | NY | HIP |
| 22-2695629 | Other | NY | TAX IDENTIFICATION NUMBER |
| X24831 | Other | NY | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081112000367 | NY | Practitioner - Chiropractic | 2769541275 | Practice locations: Chester, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7 Academy Ave
Chester, NY 10918-1041
Phone (845) 469-7575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X4365-1 | NY | MD | Chiropractor |
| 004365 | NY | MD | Primary Podiatric Medicine Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270166400000",
"number": "1962401596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ACADEMY AVE",
"city": "CHESTER",
"state": "NY",
"postal_code": "109181041",
"telephone_number": "845-469-7575",
"fax_number": "845-469-9328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 ACADEMY AVE",
"city": "CHESTER",
"state": "NY",
"postal_code": "109181041",
"telephone_number": "845-469-7575",
"fax_number": "845-469-9328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLEJOHN",
"first_name": "DONALD",
"name_suffix": "II",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2010-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X4365-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO (DR NAME)",
"identifier": "4470784",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10086242",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL WORKERS' COMP",
"identifier": "261179200",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1119494002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LANDMARK",
"identifier": "1C3863",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA AUSCH DR. NAME",
"identifier": "555513",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA AUSCH OFFICE ID",
"identifier": "76677",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNOW (PRISM)",
"identifier": "000445141001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI ALIGNIS",
"identifier": "0092949",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IME (WC)",
"identifier": "C04365-5B",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P746592",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTH",
"identifier": "05000436 SNY01",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMHC",
"identifier": "1513",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS",
"identifier": "1C8858",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRISM",
"identifier": "22-2695629-01",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "X004365-N01",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "22-2695629",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "X24831",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2010; 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.