Active NPI
John Wagdy Nagiub, DC
- Chiropractor
- Orchard Park, NY
National Provider Identifier
1003582933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 013499
- Practice address
- 3045 Southwestern Blvd Ste 108
Orchard Park, NY 14127-1209 - Phone
- (716) 713-0464
- NPI assigned
- Aug 20, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 013499 | NY | Primary |
Addresses
Primary practice location
3045 Southwestern Blvd Ste 108
Orchard Park, NY 14127-1209
Mailing address
1242 Plato Drive
Fort Erie, ONTARIO L2A 0C7
CA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013499 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1003582933",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "1242 PLATO DRIVE",
"city": "FORT ERIE",
"state": "ONTARIO",
"postal_code": "L2A 0C7"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3045 SOUTHWESTERN BLVD STE 108",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271209",
"telephone_number": "716-713-0464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGIUB",
"first_name": "JOHN",
"middle_name": "WAGDY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "013499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.