Active NPI
Paul Bambara, D.C.
- Chiropractor
- West Nyack, NY
National Provider Identifier
1013062652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X2904
- Practice address
- 2 Strawtown Rd
West Nyack, NY 10994-1847 - Phone
- (845) 358-7119
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | X2904 | NY | Primary |
Addresses
Primary practice location
2 Strawtown Rd
West Nyack, NY 10994-1847
Mailing address
2 Strawtown Rd
West Nyack, NY 10994-1847
Phone (845) 358-7119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X2904 | Other | NY | LICENSE # |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1013062652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 STRAWTOWN RD",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109941847",
"telephone_number": "845-358-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 STRAWTOWN RD",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109941847",
"telephone_number": "845-358-7119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAMBARA",
"first_name": "PAUL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X2904",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "X2904",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.