Active NPI
Jeffrey Bova, D.C.
- Chiropractor
- West Seneca, NY
National Provider Identifier
1750498655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X047881
- Practice address
- 1953 Ridge Rd
West Seneca, NY 14224-3339 - Phone
- (716) 675-4134
- Fax
- (716) 675-5733
- NPI assigned
- Aug 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X047881 | NY | Primary |
Addresses
Primary practice location
1953 Ridge Rd
West Seneca, NY 14224-3339
Mailing address
1953 Ridge Rd
West Seneca, NY 14224-3339
Phone (716) 675-4134
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5898019 | Other | NY | GHI |
| C04788-8 | Other | NY | WCB |
| 161354798 | Other | NY | AETNA |
| 00020629005 | Other | NY | BC/BS |
| 8890027 | Other | NY | INDEPENDENT HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110420000110 | NY | Practitioner - Chiropractic | 5799704862 | Practice locations: West Seneca, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1953 Ridge Rd
West Seneca, NY 14224-3339
Phone (716) 675-4134
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X047881 | NY | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- West Seneca, NY
- NPI 1114105624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750498655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1953 RIDGE RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243339",
"telephone_number": "716-675-4134",
"fax_number": "716-675-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1953 RIDGE RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243339",
"telephone_number": "716-675-4134",
"fax_number": "716-675-5733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOVA",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X047881",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5898019",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WCB",
"identifier": "C04788-8",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "161354798",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "00020629005",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "8890027",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Seneca, 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.
- 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.