Active NPI
Gregory Lee Gunzburger, DC
- Chiropractor
- Wellsville, NY
National Provider Identifier
1649286584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 75640
- Practice address
- 29 Martin Street
Wellsville, NY 14895 - Phone
- (585) 593-1600
- Fax
- (585) 672-6146
- NPI assigned
- Jul 31, 2006
- Last updated
- Oct 6, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 75640 | NY | Primary |
| Chiropractor | 111N00000X | 5526L | PA |
Addresses
Primary practice location
29 Martin Street
Wellsville, NY 14895
Mailing address
29 Martin Street
Wellsville, NY 14895
Phone (585) 593-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111118000038 | NY | Practitioner - Chiropractic | 6608040175 | Practice locations: Wellsville, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
29 Martin St
Wellsville, NY 14895-1019
Phone (585) 593-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75640 | NY | MD | Chiropractor |
| 5526L | PA | MD | Chiropractor |
| 007564 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1649286584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 MARTIN STREET",
"city": "WELLSVILLE",
"state": "NY",
"postal_code": "14895",
"telephone_number": "585-593-1600",
"fax_number": "585-672-6146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 MARTIN STREET",
"city": "WELLSVILLE",
"state": "NY",
"postal_code": "14895",
"telephone_number": "585-593-1600",
"fax_number": "585-672-6146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNZBURGER",
"first_name": "GREGORY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "75640",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "5526L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.