Jaclyn Borza Maher, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X012461-1 Issued in NY

Practice address

122 W Court St Ste 102
Ithaca, NY 14850-4165

Phone

(607) 288-2904

NPI assigned

Jan 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jaclyn K Borza Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jaclyn Borza Maher, D.C., PLLC

  • Chiropractor
  • Ithaca, NY
  • NPI 1679993745
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1083918072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W COURT ST STE 102",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504165",
            "telephone_number": "607-288-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W COURT ST STE 102",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504165",
            "telephone_number": "607-288-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "JACLYN",
        "middle_name": "BORZA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012461-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "BORZA",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Douglas D Macqueen, MD
• Tess Elizabeth Macqueen, PA-C
• Yulia Maggart, MSN, RN, APRN
• Qutaybeh S Maghaydah, MD
• Lodewijk Anton Magre, M.D.
• Akram H Mahmoud, DO
• Jennifer Maine
• David Maldow, M.D.
• Muhammad Nauman Malik, M.D.
• Emeline M Mandeville, LM

• Chiropractor in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.