Organization Active NPI

Rochester Spine & Sports Chiropractic, PLLC

  • Chiropractor
  • Pittsford, NY
National Provider Identifier
1073824082
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011867 Issued in NY
Legal business name
ROCHESTER SPINE & SPORTS CHIROPRACTIC, PLLC
Practice address
135 Sullys TRL Ste 5
Pittsford, NY 14534-4564
Phone
(585) 678-1362
Fax
(585) 348-9102
NPI assigned
Jun 24, 2010
Last updated
Dec 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Dr. Matthew J Buffan, D.C.NPI 1679808489
Title
Managing Member
Phone
(585) 678-1362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011867 NY Primary

Addresses

Primary practice location

135 Sullys TRL Ste 5
Pittsford, NY 14534-4564

Mailing address

135 Sullys TRL Ste 5
Pittsford, NY 14534-4564
Phone (585) 678-1362

Other practice location 1

1695 Empire Blvd
Webster, NY 14580-2149
Phone (585) 678-1362

National Provider Directory

National Provider Directory

Locations

135 Sullys Trl
Ste 5
Pittsford, NY 14534
Phone (585) 218-0072

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1073824082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 SULLYS TRL STE 5",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344564",
            "telephone_number": "585-678-1362",
            "fax_number": "585-348-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SULLYS TRL STE 5",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344564",
            "telephone_number": "585-678-1362",
            "fax_number": "585-348-9102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1695 Empire Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "NY",
            "postal_code": "145802149",
            "country_code": "US",
            "telephone_number": "585-678-1362",
            "fax_number": "585-787-1638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROCHESTER SPINE & SPORTS CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "BUFFAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "585-678-1362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.