Nicholas Charles Bavaro, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

X008794 Issued in NY

Practice address

422C Great East Neck Rd Unit C
West Babylon, NY 11704-7610

Phone

(917) 748-1139

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Optimal Chiropractic Associates, PLLC

  • Sports Physician Chiropractor
  • Sunnyside, NY
  • NPI 1225203136
  NPD (past) Authorized official
• A & a Alignment Chiropractic P.C.

  • Chiropractor
  • Sunnyside, NY
  • NPI 1477717767
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1699862300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 GREAT EAST NECK RD UNIT C",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047628",
            "telephone_number": "631-661-6611",
            "fax_number": "631-661-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422C GREAT EAST NECK RD UNIT C",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047610",
            "telephone_number": "917-748-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVARO",
        "first_name": "NICHOLAS",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X008794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02090540",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jannine M Barbowski
• Samantha Maria Barone, LMHC
• Eugene Charles Basini, RPH
• Poenie Bastien
• Sinthia Bautista
• Bay Orthopedic and Rehabilitation Supply Co Inc
• BCW Assets and Enterprises LLC
• Beach Chiropractic Wellness PLLC
• Nadine S Beach, DC
• Beebe Residence

• Sports Physician Chiropractor in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Sports Physician Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.

Verify at the official NPI Registry.