Active NPI
Ronald A. Pavia, D.C.
- Chiropractor
- New City, NY
National Provider Identifier
1073605689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 008287
- Practice address
- 89 S Little Tor Rd
New City, NY 10956-3130 - Phone
- (845) 638-0247
- NPI assigned
- Sep 29, 2006
- 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 | 008287 | NY | Primary |
Addresses
Primary practice location
89 S Little Tor Rd
New City, NY 10956-3130
Mailing address
89 S Little Tor Rd
New City, NY 10956-3130
Phone (845) 638-0247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111205000618 | NY | Practitioner - Chiropractic | 3375718208 | Practice locations: New City, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
89 S Little Tor Rd
New City, NY 10956-3130
Phone (845) 638-0247
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": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073605689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 S LITTLE TOR RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109563130",
"telephone_number": "845-638-0247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 S LITTLE TOR RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109563130",
"telephone_number": "845-638-0247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVIA",
"first_name": "RONALD",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "008287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.