Stephen Boronczyk, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557617 Issued in VA

Practice address

4001 Coliseum Dr Ste 200
Hampton, VA 23666-6257

Phone

(757) 827-2220

Fax

(757) 865-4193

NPI assigned

Nov 7, 2017

Last updated

Jan 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Victor Advanced Chiropractic & Wellness PC

  • Chiropractor
  • Victor, NY
  • NPI 1710205430
  NPD (past)

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1861905309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 COLISEUM DR STE 200",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666257",
            "telephone_number": "757-827-2220",
            "fax_number": "757-865-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 COLISEUM DR STE 200",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666257",
            "telephone_number": "757-827-2220",
            "fax_number": "757-865-4193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 W Main St",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "NY",
            "postal_code": "145641163",
            "country_code": "US",
            "telephone_number": "585-398-1201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "758 South Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14620",
            "country_code": "US",
            "telephone_number": "585-678-1153",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "728 South Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14620",
            "country_code": "US",
            "telephone_number": "585-678-1153",
            "fax_number": "630-214-8441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORONCZYK",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-07",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012965",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012965",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Parsons Booth, DMD
• Jeffrey Peter Booth, DDS
• Mackenzie Maureen Boothe
• Sheri Yvette Boothe
• Ingrid Marie Bornia, LCSW
• Brittany Botelho, LCSW
• Thomas Nicholas Bottoni, MD
• Katherine Marie Boucher, NP
• Adel A Boulos-Mikhaiel, M.D.
• Martha Saad Ibrahim Boulos, M.D.

• Chiropractor in Hampton, VA
• Providers in Hampton, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.