Active NPI
Steven J Pavia, D.C.
- Nutrition Chiropractor
- Monroe, NY
National Provider Identifier
1619064680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 3940
- Practice address
- 505 State Route 208
Monroe, NY 10950-1608 - Phone
- (845) 783-2112
- Fax
- (845) 783-2112
- NPI assigned
- Oct 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 3940 | NY | Primary |
Addresses
Primary practice location
505 State Route 208
Monroe, NY 10950-1608
Mailing address
505 State Route 208
Monroe, NY 10950-1608
Phone (845) 783-2112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120201000693 | NY | Practitioner - Chiropractic | 0941467088 | Practice locations: Monroe, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
505 State Route 208
Monroe, NY 10950-1608
Phone (845) 783-2112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003940 | NY | MD | Behavioral Analyst |
| 3940 | NY | MD | Nutrition Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619064680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 STATE ROUTE 208",
"city": "MONROE",
"state": "NY",
"postal_code": "109501608",
"telephone_number": "845-783-2112",
"fax_number": "845-783-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 STATE ROUTE 208",
"city": "MONROE",
"state": "NY",
"postal_code": "109501608",
"telephone_number": "845-783-2112",
"fax_number": "845-783-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVIA",
"first_name": "STEVEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "NY",
"license": "3940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, 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.
- 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.