Individual provider Active NPI

Elod Tibor Boromisza, D.C. PROGRAM NYCC

  • Student in an Organized Health Care Education/Training Program
  • Seneca Falls, NY
National Provider Identifier
1720114952
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2360 State Route 89
#1271
Seneca Falls, NY 13148-9425
Phone
(315) 651-2474
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
Yes

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
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2360 State Route 89
#1271
Seneca Falls, NY 13148-9425

Mailing address

PO Box 604
Seneca Falls, NY 13148-0604
Phone (315) 651-2474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720114952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131480604",
            "telephone_number": "315-651-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 STATE ROUTE 89",
            "address_2": "#1271",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131489425",
            "telephone_number": "315-651-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROMISZA",
        "first_name": "ELOD",
        "middle_name": "TIBOR",
        "credential": "D.C. PROGRAM  NYCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca Falls, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.