Individual provider Active NPI

Juliana Marie Marciniak, D.C.

  • Chiropractor
  • Buffalo, NY
National Provider Identifier
1003165762
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012237 Issued in NY
Practice address
2625 Delaware Ave Ste 102
Buffalo, NY 14216-1705
Phone
(716) 335-9711
Fax
(716) 335-9696
NPI assigned
Sep 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012237 NY Primary

Addresses

Primary practice location

2625 Delaware Ave Ste 102
Buffalo, NY 14216-1705

Mailing address

173 N Seine Dr
Cheektowaga, NY 14227-3113
Phone (716) 574-9305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121015000382 NY Practitioner - Chiropractic 7911157623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marciniak Chiropractic PLLCGroup PAC ID 1850515388, 7 clinicians

Practice addresses (Care Compare)

989 Kenmore Ave
Kenmore, NY 14217-2924
Phone (716) 335-9711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012237NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marciniak Chiropractic PLLC Chiropractor CurrentSince Oct 1, 2012 Accepting new patients
Peak Perfomance Chiropractic Chiropractor Past Accepting new patients

Locations

2625 Delaware Ave
#102
Buffalo, NY 14216
Phone (716) 335-9711

2625 Delaware Ave
Ste 102
Buffalo, NY 14216
Phone (716) 335-9711

989 Kenmore Ave
Kenmore, NY 14217
Phone (716) 335-9711

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1347148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1003165762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 N SEINE DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142273113",
            "telephone_number": "716-574-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 DELAWARE AVE STE 102",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161705",
            "telephone_number": "716-335-9711",
            "fax_number": "716-335-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINIAK",
        "first_name": "JULIANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-09",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.