Individual provider Active NPI

Richard Anthony Bove, D.C.

  • Chiropractor
  • Staten Island, NY
National Provider Identifier
1457417206
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007515-1 Issued in NY
Practice address
7378 Amboy Rd
Staten Island, NY 10307-1450
Phone
(718) 948-9598
Fax
(718) 605-2992
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X007515-1 NY Primary

Addresses

Primary practice location

7378 Amboy Rd
Staten Island, NY 10307-1450

Mailing address

7378 Amboy Rd
Staten Island, NY 10307-1450
Phone (718) 948-9598

Other identifiers 9

IdentifierTypeStateIssuer
P00296886OtherRAILROAD MEDICARE INDIVID
5803469OtherGHI
P2486119OtherOXFORD
2560341OtherAETNA
X8M17OtherEMPIRE HEALTH PLANS
102840400OtherNYACN
179023OtherELDERPLAN
827593OtherMPN
DE5018OtherRAILROAD MEDICARE GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050406000120 NY Practitioner - Chiropractic 6800843491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7378 Amboy Rd
Suite 1
Staten Island, NY 10307-1432
Phone (718) 948-9598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X007515-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Chiropractic, PC Chiropractor CurrentSince Jun 19, 2001 Accepting new patients

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1457417206",
    "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": "103071450",
            "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": "103071450",
            "telephone_number": "718-948-9598",
            "fax_number": "718-605-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVE",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007515-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE INDIVID",
            "identifier": "P00296886",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5803469",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2486119",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2560341",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HEALTH PLANS",
            "identifier": "X8M17",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "102840400",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "179023",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPN",
            "identifier": "827593",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DE5018",
            "state": null
        }
    ],
    "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 30, 2023; 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.