Diane Jenave Iwaniec, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X005916 Issued in NY

Practice address

133 Columbia Turnpike
Rensselaer, NY 12144

Phone

(518) 432-7951

Fax

(518) 432-7421

NPI assigned

Oct 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Diane Jenave Macgaurn Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iwaniec Chiropractic PCGroup PAC ID 4284808817, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Iwaniec Chiropractic PC

  • Chiropractor
  • Rensselaer, NY
  • NPI 1447336995
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730265463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 COLUMBIA TURNPIKE",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "12144",
            "telephone_number": "518-432-7951",
            "fax_number": "518-432-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 COLUMBIA TURNPIKE",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "12144",
            "telephone_number": "518-432-7951",
            "fax_number": "518-432-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWANIEC",
        "first_name": "DIANE",
        "middle_name": "JENAVE",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005916",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10066230",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EBCBS",
            "identifier": "X5P921",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WCB",
            "identifier": "CO5916",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "MACGAURN",
            "middle_name": "JENAVE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zoya Felicite Hyatt, LPN
• Amanda Ingrassia
• Brittany Lynn Intrieri, NP
• Lakeytah R Irving, RPA-C
• Iwaniec Chiropractic PC
• Robert Joseph Iwaniec, DC
• Cynthia Wedekind Jacobs
• Hannah Jacobs
• Mary Grace Jacon, FNP
• Hajra Jamil

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

• 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.
• 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.