Individual provider Active NPI

Nicholas A Ryan, D.C.

  • Chiropractor
  • Batavia, NY
National Provider Identifier
1821425323
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012389-1 Issued in NY
Practice address
46 Batavia City Ctr
Batavia, NY 14020-2107
Phone
(585) 344-1682
NPI assigned
Sep 30, 2013
Last updated
May 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012389-1 NY Primary

Addresses

Primary practice location

46 Batavia City Ctr
Batavia, NY 14020-2107

Mailing address

2283 Grand Island Blvd
Grand Island, NY 14072-1819
Phone (716) 688-8625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190517001653 NY Practitioner - Chiropractic 0244573020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mazurkiewicz Family Chiropractic, PCGroup PAC ID 5193871077, 3 clinicians

Practice addresses (Care Compare)

184 Washington Ave
Batavia, NY 14020-2113
Phone (585) 343-9316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012389NYMDPhysical Therapy Assistant
012389-1NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mazurkiewicz Family Chiropractic, PC Chiropractor CurrentSince Feb 1, 2023 Accepting new patients

Locations

184 Washington Ave
Batavia, NY 14020
Phone (585) 343-9316

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.

NPI Registry JSON

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1821425323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2283 GRAND ISLAND BLVD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721819",
            "telephone_number": "716-688-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 BATAVIA CITY CTR",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202107",
            "telephone_number": "585-344-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-30",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012389-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.