Active NPI
Jaela Elvera Agnello, D.C.
- Chiropractor
- Depew, NY
National Provider Identifier
1497290258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X012887-1
- Practice address
- 1276 French Rd
Depew, NY 14043-4882 - Phone
- (716) 668-3072
- NPI assigned
- Jan 3, 2017
- Sex
- Female
- 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 | X012887-1 | NY | Primary |
Addresses
Primary practice location
1276 French Rd
Depew, NY 14043-4882
Mailing address
400 International Dr
Williamsville, NY 14221-5771
Phone (716) 947-0139
Other practice location 1
7060 Erie Rd
Suite 300
Derby, NY 14047-9430
Phone (716) 947-0139
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1276 French Rd
Depew, NY 14043-4882
Phone (716) 668-3072
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X012887-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Fitness Rehabilitation, PT, PLLC | Current | Accepting new patients | |
| Western New York Fitness Rehabilitation, PT, PLLC | Current | Accepting new patients |
Locations
425 Meyer Rd
West Seneca, NY 14224
Phone (716) 563-4811
Interoperability endpoints
- jagnello@invisionhealthbrainandspine.medentdirect.com
Organizations & group practices 3
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.
-
- Neurological Surgery Physician
- Williamsville, NY
- NPI 1073631644
-
- Physical Therapy Clinic/Center
- West Seneca, NY
- NPI 1891391199
-
- Physical Therapy Clinic/Center
- West Seneca, NY
- NPI 1447863824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1497290258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 INTERNATIONAL DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215771",
"telephone_number": "716-947-0139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 FRENCH RD",
"city": "DEPEW",
"state": "NY",
"postal_code": "140434882",
"telephone_number": "716-668-3072"
}
],
"practiceLocations": [
{
"address_1": "7060 Erie Rd",
"address_2": "Suite 300",
"address_purpose": "LOCATION",
"city": "Derby",
"state": "NY",
"postal_code": "140479430",
"country_code": "US",
"telephone_number": "716-947-0139",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGNELLO",
"first_name": "JAELA",
"middle_name": "ELVERA",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-03",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X012887-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Depew, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.