Individual provider Active NPI

Lydia Ellen Biffer, D.C.

  • Chiropractor
  • Jefferson Valley, NY
National Provider Identifier
1083786545
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X002459-1 Issued in NY
Practice address
3653 Hill Blvd
Jefferson Valley, NY 10535-1501
Phone
(914) 245-1400
Fax
(914) 245-3964
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X002459-1 NY Primary

Addresses

Primary practice location

3653 Hill Blvd
Jefferson Valley, NY 10535-1501

Mailing address

3653 Hill Blvd
Jefferson Valley, NY 10535-1501
Phone (914) 245-1400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110214000739 NY Practitioner - Chiropractic 1355521998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3653 Hill Blvd
Jefferson Valley, NY 10535-1501
Phone (914) 245-1400

3653 Hill Boulevard
Jefferson Valley, NY 10535-1501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X002459-1NYMDChiropractor
002459NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lydia E Biffer DC PC Chiropractor CurrentSince Jan 1, 2016 Accepting new patients

Locations

3653 Hill Blvd
Jefferson Vly, NY 10535
Phone (914) 245-1400

Organizations & group practices 1

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083786545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3653 HILL BLVD",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351501",
            "telephone_number": "914-245-1400",
            "fax_number": "914-245-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3653 HILL BLVD",
            "city": "JEFFERSON VALLEY",
            "state": "NY",
            "postal_code": "105351501",
            "telephone_number": "914-245-1400",
            "fax_number": "914-245-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIFFER",
        "first_name": "LYDIA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002459-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson Valley, NY

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.

Verify at the official NPI Registry.