Jaclyn Borza Maher, D.C., PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X012461-1 Issued in NY

Legal business name

JACLYN BORZA MAHER, D.C., PLLC

Practice address

726 Willow Ave
Ithaca, NY 14850-3215

Phone

(607) 256-0641

NPI assigned

Apr 16, 2014

Last updated

Jun 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jaclyn Borza Maher, D.C.NPI 1083918072

Title

Owner

Phone

(315) 730-7199

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaclyn Borza Maher, D.C.

  • Chiropractor
  • Ithaca, NY
  • NPI 1083918072
  Medicare reassignment NPD Authorized official
• Jessica E. Loda, D.C.

  • Chiropractor
  • Ithaca, NY
  • NPI 1598836140
  NPD (past)

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1679993745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 N CAYUGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503616",
            "telephone_number": "607-256-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 WILLOW AVE",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148503215",
            "telephone_number": "607-256-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACLYN BORZA MAHER, D.C., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "MAHER",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "BORZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-730-7199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012461-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ithaca Urology PLLC
• Alisson Daniela Iturburu Altamirano, M.D.
• William Roy Ives
• Yudelka Garcia Ivory, N.P.
• Mark Franklin Jackson, P.T., DPT, MPS, OCS
• Amy Lee Jacobs, LISW
• Paula L. Jacobs, LCSW
• Patti L Jacobson, DC
• Kimberly Brett Jakobson
• Maureen Bernier Jakubson, OTR

• Chiropractor in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.