1629014923 NPI number — JAMES LAMBERT DC

Table of content: JAMES LAMBERT DC (NPI 1629014923)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629014923 NPI number — JAMES LAMBERT DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAMBERT
Provider First Name:
JAMES
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629014923
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2805 VETERANS MEMORIAL HWY
Provider Second Line Business Mailing Address:
SUITE 8
Provider Business Mailing Address City Name:
RONKONKOMA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11779-7647
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
631-738-9539
Provider Business Mailing Address Fax Number:
631-738-8500

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2805 VETERANS MEMORIAL HWY
Provider Second Line Business Practice Location Address:
SUITE 8
Provider Business Practice Location Address City Name:
RONKONKOMA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11779-7647
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-738-9539
Provider Business Practice Location Address Fax Number:
631-738-8500
Provider Enumeration Date:
06/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  X4362 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0012094 . This is a "GHI PROV ID#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 050004362NY01 . This is a "ANTHEM PROV ID#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2004029 . This is a "AETNA PROV ID#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4543081 . This is a "ACN GROUP PROV ID #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 927432 . This is a "MPN PROV ID #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P-60721490 . This is a "MULTIPLAN PROV ID #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P412489 . This is a "OXFORD PROV ID #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 04362-2 . This is a "WORKERS COMP BOARD #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 37820P . This is a "HIP/PRISM #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: AA46887 . This is a "MDNY PROV ID#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 37296 . This is a "ICM PROVIDER ID#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4543081 . This is a "UNITED HEALTHCARE ID #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 2457 . This is a "VYTRA ID #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 34255 . This is a "HEALTHNET PROV ID #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: X9K15 . This is a "EMPIRE BC/BS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 107741300 . This is a "ACS/NYS DEPT OF LABOR" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 938180 . This is a "PHS ID #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P00076567 . This is a "RAILROAD MEDICARE #" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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