Individual provider Active NPI

John Francis Przybylak, DC

  • Chiropractor
  • Snyder, NY
National Provider Identifier
1124193032
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007727 Issued in NY
Practice address
4017 Harlem Rd
Snyder, NY 14226-4707
Phone
(716) 839-5100
Fax
(716) 839-5186
NPI assigned
Nov 24, 2006
Last updated
Dec 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X007727 NY Primary
Nutrition Chiropractor 111NN1001X X007727 NY
Radiology Chiropractor 111NR0200X X007727 NY
Thermography Chiropractor 111NT0100X X007727 NY

Addresses

Primary practice location

4017 Harlem Rd
Snyder, NY 14226-4707

Mailing address

4017 Harlem Rd
Snyder, NY 14226-4707
Phone (716) 839-5100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040129000852 NY Practitioner - Chiropractic 4688577331 Practice locations: Snyder, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4017 Harlem Rd
Snyder, NY 14226-4709
Phone (716) 839-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X007727NYMDThermography Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1124193032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 HARLEM RD",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "142264707",
            "telephone_number": "716-839-5100",
            "fax_number": "716-839-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 HARLEM RD",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "142264707",
            "telephone_number": "716-839-5100",
            "fax_number": "716-839-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRZYBYLAK",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007727",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "X007727",
            "primary": false
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "NY",
            "license": "X007727",
            "primary": false
        },
        {
            "code": "111NT0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Thermography",
            "state": "NY",
            "license": "X007727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snyder, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.