Organization Active NPI

Amboy Chiropractic, PC

  • Chiropractor
  • Staten Island, NY
National Provider Identifier
1336330042
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AMBOY CHIROPRACTIC, PC
Practice address
7378 Amboy Rd
Staten Island, NY 10307-1420
Phone
(718) 948-9598
Fax
(718) 605-2992
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Richard Anthony Bove, DCNPI 1457417206
Title
Owner/Pres
Phone
(718) 948-9598

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7378 Amboy Rd
Staten Island, NY 10307-1420

Mailing address

7378 Amboy Rd
Staten Island, NY 10307-1420
Phone (718) 948-9598

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324000598 NY Part B Supplier - Clinic/Group Practice 6103717434 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Locations

7378 Amboy Rd
Ste 1
Staten Island, NY 10307
Phone (718) 948-9598

7378 Amboy Rd
Staten Island, NY 10307
Phone (718) 948-9598

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1336330042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7378 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071420",
            "telephone_number": "718-948-9598",
            "fax_number": "718-605-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7378 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071420",
            "telephone_number": "718-948-9598",
            "fax_number": "718-605-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBOY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "BOVE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/PRES",
        "authorized_official_telephone_number": "718-948-9598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.