Active NPI
Jason Michael Bongi, D.C.
- Chiropractor
- Williamsville, NY
National Provider Identifier
1427197557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X009016
- Practice address
- 154 Plaza Dr
Williamsville, NY 14221-2345 - Phone
- (716) 204-0784
- Fax
- (716) 204-0786
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X009016 | NY | Primary |
Addresses
Primary practice location
154 Plaza Dr
Williamsville, NY 14221-2345
Mailing address
154 Plaza Dr
Williamsville, NY 14221-2345
Phone (716) 204-0784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427197557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 PLAZA DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142212345",
"telephone_number": "716-204-0784",
"fax_number": "716-204-0786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 PLAZA DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142212345",
"telephone_number": "716-204-0784",
"fax_number": "716-204-0786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONGI",
"first_name": "JASON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X009016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.