1821184896 NPI number — DR. ADAM STANGER DC

Table of content: DR. ADAM STANGER DC (NPI 1821184896)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821184896 NPI number — DR. ADAM STANGER DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STANGER
Provider First Name:
ADAM
Provider Middle Name:
Provider Name Prefix Text:
DR.
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:
1821184896
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/24/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
230 EAST 48TH STREET
Provider Second Line Business Mailing Address:
SUITE 1B
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10017
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-755-4343
Provider Business Mailing Address Fax Number:
212-759-6665

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
230 EAST 48TH STREET
Provider Second Line Business Practice Location Address:
SUITE 1B
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-755-4343
Provider Business Practice Location Address Fax Number:
212-759-6665
Provider Enumeration Date:
10/05/2006

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:  X0061121 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 111N00000X , with the licence number: 000860 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: P478647 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5801905 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 603745 . This is a "ACN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0543941 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".