Active NPI
Ronald Warren Gefaller, D.C.
- Sports Physician Chiropractor
- Orchard Park, NY
National Provider Identifier
1871593822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- X0003398
- Practice address
- 3959 N Buffalo St
Suite 16
Orchard Park, NY 14127-1841 - Phone
- (716) 667-6800
- Fax
- (716) 539-5258
- NPI assigned
- Jul 29, 2005
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | X0003398 | NY | Primary |
Addresses
Primary practice location
3959 N Buffalo St
Suite 16
Orchard Park, NY 14127-1841
Mailing address
3959 N Buffalo St
Suite 16
Orchard Park, NY 14127-1841
Phone (716) 667-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131009001661 | NY | Practitioner - Chiropractic | 1850525601 | Practice locations: Orchard Park, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3959 N Buffalo St
Suite 16
Orchard Park, NY 14127-1841
Phone (716) 667-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003398 | NY | MD | Mental Health Counselor |
| X0003398 | NY | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1871593822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 N BUFFALO ST",
"address_2": "SUITE 16",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271841",
"telephone_number": "716-667-6800",
"fax_number": "716-539-5258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 N BUFFALO ST",
"address_2": "SUITE 16",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271841",
"telephone_number": "716-667-6800",
"fax_number": "716-539-5258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEFALLER",
"first_name": "RONALD",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NY",
"license": "X0003398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.