Individual provider Active NPI

Waqas Pervaiz, D.C.

  • Chiropractor
  • Rochester, NY
National Provider Identifier
1053865618
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012859-1 Issued in NY
Practice address
2164 Hudson Ave
Rochester, NY 14617-3960
Phone
(585) 467-7070
NPI assigned
Aug 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012859-1 NY Primary

Addresses

Primary practice location

2164 Hudson Ave
Rochester, NY 14617-3960

Mailing address

10 Blacksmith Dr Ste 1
Ballston Spa, NY 12020-4428
Phone (518) 289-5229

Other identifiers 1

IdentifierTypeStateIssuer
82-1829168OtherNYTAX ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161219000823 NY Practitioner - Chiropractic 4082994660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Malta Chiropractic PCGroup PAC ID 7911269774, 2 clinicians

Practice addresses (Care Compare)

10 Blacksmith Dr
Suite 1
Ballston Spa, NY 12020-4428
Phone (518) 289-5229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012859-1NYMDChiropractor
012859NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Malta Chiropractic PC Chiropractor CurrentSince Jan 18, 2018 Accepting new patients
Steven Foley Chiropractor Past Accepting new patients
Irondequoit Chiropractic, PLLC Chiropractor PastSince Apr 27, 2021 Accepting new patients

Locations

2460 State Route 9
Ballston Spa, NY 12020
Phone (518) 289-5229

10 Blacksmith Dr
Ste 1
Malta, NY 12020
Phone (207) 215-8952

Organizations & group practices 3

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": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1053865618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BLACKSMITH DR STE 1",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120204428",
            "telephone_number": "518-289-5229",
            "fax_number": "518-400-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2164 HUDSON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173960",
            "telephone_number": "585-467-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVAIZ",
        "first_name": "WAQAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012859-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "82-1829168",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.