DR. EDWIN EUGENE THOMPSON DC
NPI 1295963817
Chiropractor in Bayside, NY

Active since June 23, 2009
21435 42ND AVE, 3RD FLOOR, BAYSIDE, NY 11361(718) 229-4868(718) 229-4993 Get Directions Write a Review

NPPES record last updated: July 20, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Edwin Eugene Thompson Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWIN EUGENE THOMPSON DC (NPI 1295963817) is an individual chiropractor in Bayside, New York, licensed in New York (X011677) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1295963817
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. EDWIN EUGENE THOMPSONCredential: DC
Location Address21435 42ND AVE, 3RD FLOORBayside, NY 11361-2917
Mailing Address21435 42nd Ave, 3rd FloorBayside, NY 11361-2917 · (718) 229-4868 · Fax (718) 229-4993
Fax(718) 229-4993
Sole ProprietorNo
Enumeration DateJune 23, 2009
Last NPPES UpdateJuly 20, 2010
✔ NPI 1295963817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X011677
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
21435 42ND AVE, Bayside, NY 11361

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edwin Eugene Thompson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Edwin Thompson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
625 E FORDHAM RD
Bronx, NY 10458
  • Reassigned Medicare billing, New York enrollment
  • 74 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
21435 42ND AVE, 3RD FLOOR
BAYSIDE, NY 11361
Neurological Surgery
21435 42ND AVE, 3RD FLOOR
BAYSIDE, NY 11361
Dentist (General Practice)
21435 42ND AVE
BAYSIDE, NY 11361
Chiropractor
21435 42ND AVE, 3RD FLOOR
BAYSIDE, NY 11361
Dentist (Orthodontics and Dentofacial Orthopedics)
21435 42ND AVE
BAYSIDE, NY 11361
Physical Medicine & Rehabilitation
21435 42ND AVE, 3RD FLOOR
BAYSIDE, NY 11361
Dentist (General Practice)
21435 42ND AVE
BAYSIDE, NY 11361
Neuromusculoskeletal Medicine, Sports Medicine
21435 42ND AVE, 3RD FLOOR
BAYSIDE, NY 11361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Thompson's NPI number?

The NPI number for Edwin Thompson is 1295963817. It was assigned to this individual provider in the NPPES registry on June 23, 2009.

Where is Edwin Thompson located?

Edwin Thompson practices at 21435 42nd Ave 3rd Floor, Bayside, NY 11361. The listed phone number is (718) 229-4868.

What is Edwin Thompson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Edwin Thompson enrolled in Medicare?

Yes. Edwin Thompson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edwin Thompson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Thompson reassigns Medicare benefits to Medalliance Medical Health Services Inc (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edwin Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edwin Thompson was last updated on July 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.