Organization Active NPI

Novelli Engl Chiropractic, PLLC

  • Chiropractor
  • Williamsville, NY
National Provider Identifier
1821518903
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012710 Issued in NY
Legal business name
NOVELLI ENGL CHIROPRACTIC, PLLC
Practice address
5977 Main St
Williamsville, NY 14221-5740
Phone
(716) 573-6666
NPI assigned
Jun 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Dr. Stephen Novelli, DCNPI 1760685473
Title
Owner, Manager
Phone
(716) 573-6666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 012710 NY Primary

Addresses

Primary practice location

5977 Main St
Williamsville, NY 14221-5740

Mailing address

6362 Scherff Rd
Orchard Park, NY 14127-3741
Phone (716) 573-6666

Other identifiers 1

IdentifierTypeStateIssuer
1487014502MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1821518903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6362 SCHERFF RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141273741",
            "telephone_number": "716-573-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5977 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215740",
            "telephone_number": "716-573-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVELLI ENGL CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "NOVELLI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "716-573-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487014502",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.