Provider Demographics
NPI:1629014923
Name:LAMBERT, JAMES (DC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:LAMBERT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 VETERANS MEMORIAL HWY
Mailing Address - Street 2:SUITE 8
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-7647
Mailing Address - Country:US
Mailing Address - Phone:631-738-9539
Mailing Address - Fax:631-738-8500
Practice Address - Street 1:2805 VETERANS MEMORIAL HWY
Practice Address - Street 2:SUITE 8
Practice Address - City:RONKONKOMA
Practice Address - State:NY
Practice Address - Zip Code:11779-7647
Practice Address - Country:US
Practice Address - Phone:631-738-9539
Practice Address - Fax:631-738-8500
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX4362111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0012094OtherGHI PROV ID#
NY050004362NY01OtherANTHEM PROV ID#
NY2004029OtherAETNA PROV ID#
NY4543081OtherACN GROUP PROV ID #
NY927432OtherMPN PROV ID #
NYP-60721490OtherMULTIPLAN PROV ID #
NYP412489OtherOXFORD PROV ID #
NY04362-2OtherWORKERS COMP BOARD #
NY37820POtherHIP/PRISM #
NYAA46887OtherMDNY PROV ID#
NY37296OtherICM PROVIDER ID#
NY4543081OtherUNITED HEALTHCARE ID #
NY2457OtherVYTRA ID #
NY34255OtherHEALTHNET PROV ID #
NYX9K15OtherEMPIRE BC/BS
NY107741300OtherACS/NYS DEPT OF LABOR
NY938180OtherPHS ID #
NYP00076567OtherRAILROAD MEDICARE #
NY37820POtherHIP/PRISM #
NYP412489OtherOXFORD PROV ID #