Individual provider Active NPI

Stephen Novelli, DC

  • Chiropractor
  • West Seneca, NY
National Provider Identifier
1760685473
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011511 Issued in NY
Practice address
3050 Orchard Park Rd # B
West Seneca, NY 14224-4658
Phone
(716) 573-6666
NPI assigned
Jun 8, 2007
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011511 NY Primary

Addresses

Primary practice location

3050 Orchard Park Rd # B
West Seneca, NY 14224-4658

Mailing address

3050 Orchard Park Rd # B
West Seneca, NY 14224-4658
Phone (716) 573-6666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000332 NY Practitioner - Chiropractic 7911085428 Practice locations: Orchard Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3045 Southwestern Blvd
Suite 108
Orchard Park, NY 14127-1209
Phone (716) 713-0464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
011511NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen a Novelli, DC, P.C. Chiropractor CurrentSince Mar 1, 2020 Accepting new patients
Novelli Engl Chiropractic, PLLC Chiropractor Current Accepting new patients
Orchard Park Physical Therapy and Chiropractic, PLLC PastSince Mar 31, 2021 Accepting new patients

Locations

3045 Southwestern Blvd
Ste 102
Orchard Park, NY 14127
Phone (716) 674-6859

3045 Southwestern Blvd
Ste 108
Orchard Park, NY 14127
Phone (716) 713-0464

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1760685473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 ORCHARD PARK RD # B",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244658",
            "telephone_number": "716-573-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 ORCHARD PARK RD # B",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244658",
            "telephone_number": "716-573-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVELLI",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "011511",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 7, 2024; 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.