William Imburgia, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

013561 Issued in NY

Practice address

1400 Portland Ave Ste 44
Rochester, NY 14621-3014

Phone

(585) 417-6010

NPI assigned

Jan 21, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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.

• Northeast Pain Solutions

  • Chiropractor
  • Rochester, NY
  • NPI 1134943434

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1356093314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 BISCAYNE DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146124241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PORTLAND AVE STE 44",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213014",
            "telephone_number": "585-417-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBURGIA",
        "first_name": "WILLIAM",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "013561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Iler, MD
• Christopher Ille, PHARM.D
• Morolayo Ilori
• Evonne Kristen Iman, PA-C
• Imb Corporation
• Edwin Olatunji Imiere, MD
• Piotr Zbigniew Imiolek, M.D.
• Amin Imran, M.D.
• Farhan S Imran, MD
• Sikandar Shahzad Imran, M.D.

• Sports Physician Chiropractor in Rochester, NY
• Providers in Rochester, NY by specialty
• Sports Physician Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.