Individual provider Active NPI

Sarah Novotny, DC

  • Chiropractor
  • North Tonawanda, NY
National Provider Identifier
1396362844
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
013376 Issued in NY
Practice address
84 Sweeney St
North Tonawanda, NY 14120-5822
Phone
(716) 640-5565
NPI assigned
Jul 1, 2020
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 013376 NY Primary

Addresses

Primary practice location

84 Sweeney St
North Tonawanda, NY 14120-5822

Mailing address

84 Sweeney St
North Tonawanda, NY 14120-5822
Phone (716) 640-5565

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drsarah@thrivebuffalo.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231009000732 NY Practitioner - Chiropractic 5597110700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marciniak Chiropractic PLLCGroup PAC ID 1850515388, 7 clinicians

Practice addresses (Care Compare)

989 Kenmore Ave
Kenmore, NY 14217-2924
Phone (716) 335-9711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marciniak Chiropractic PLLC Chiropractor CurrentSince Nov 1, 2023 Accepting new patients

Locations

989 Kenmore Ave
Kenmore, NY 14217
Phone (716) 335-9711

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1396362844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 SWEENEY ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141205822",
            "telephone_number": "716-640-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 SWEENEY ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141205822",
            "telephone_number": "716-640-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOTNY",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drsarah@thrivebuffalo.com",
            "affiliation": "N",
            "endpointDescription": "secure practice email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "84 Sweeney St",
            "city": "North Tonawanda",
            "state": "NY",
            "country_code": "US",
            "postal_code": "141205822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; 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.