Individual provider Active NPI

Jennifer Lynn Bove, DPM

  • Podiatrist
  • Williamsville, NY
National Provider Identifier
1669439980
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005789 Issued in NY
Practice address
1045 Wehrle Dr
Williamsville, NY 14221-7723
Phone
(716) 688-1464
Fax
(716) 688-1465
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005789 NY Primary

Addresses

Primary practice location

1045 Wehrle Dr
Williamsville, NY 14221-7723

Mailing address

1528 Homecourt
Alden, NY 14004-1226
Phone (716) 937-8834

Other identifiers 1

IdentifierTypeStateIssuer
02286102MedicaidNY

Other names 1

  • Mrs. Jennifer Lynn Bove Makuch Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140825001765 NY Order and Referring Only - PodiatryPractitioner - Podiatry 4183842669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N005789NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter J Riznyk DPM PLLC Podiatrist Past Accepting new patients
Southwestern Testing Service, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669439980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 HOMECOURT",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041226",
            "telephone_number": "716-937-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 WEHRLE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217723",
            "telephone_number": "716-688-1464",
            "fax_number": "716-688-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOVE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02286102",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BOVE MAKUCH",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.