Laurie R Mullen

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010137-1 Issued in NY

Practice address

630 Fort Washington Avenue Suite 1J
New York, NY 10040-3900

Phone

(212) 543-4325

Fax

(212) 543-4324

NPI assigned

May 4, 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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Laurie R. Mullen DC, PC

  • Chiropractor
  • New York, NY
  • NPI 1134155450
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962614404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 FORT WASHINGTON AVENUE SUITE 1J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403900",
            "telephone_number": "212-543-4325",
            "fax_number": "212-543-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FORT WASHINGTON AVENUE SUITE 1J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403900",
            "telephone_number": "212-543-4325",
            "fax_number": "212-543-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "LAURIE",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010137-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Johnson Mullen, LCSW
• Chelsea Nicole Mullen, LMSW
• Edward Mullen, SLP
• Elaine Mullen, M.S., OTR
• Isabelle Mullen
• Linda Susan Mullen, MD
• Mackenzie Mullen
• Mary Carter Mullen
• Michael P Mullen, MD
• Seria Mullen, NP

• Chiropractor in New York, NY
• Providers in New York, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.