NPIMap

Organization Active NPI

Marciniak Chiropractic PLLC

Doing business as Peak Performance Chiropractic

  • Chiropractor
  • Buffalo, NY
National Provider Identifier
1942610183
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MARCINIAK CHIROPRACTIC PLLC
Doing business as
Peak Performance Chiropractic
Practice address
2625 Delaware Ave Ste 102
Buffalo, NY 14216-1705
Phone
(716) 335-9711
Fax
(716) 335-9696
NPI assigned
Apr 28, 2014
Last updated
Apr 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Dr. Juliana Marie Marciniak, D.C.NPI 1003165762
Title
President
Phone
(716) 335-9711

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

2625 Delaware Ave Ste 102
Buffalo, NY 14216-1705

Mailing address

2625 Delaware Ave Ste 102
Buffalo, NY 14216-1705
Phone (716) 335-9711

Other names 1

  • Peak Performance Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140624000613 NY Part B Supplier - Clinic/Group Practice 1850515388 Receives reassigned benefits from 7 practitioners
Practice locations: Kenmore, NY

National Provider Directory

National Provider Directory
Tax ID family
Marciniak Chiropractic PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2625 Delaware Ave
#102
Buffalo, NY 14216
Phone (716) 335-9711

2625 Delaware Ave
Ste 102
Buffalo, NY 14216
Phone (716) 335-9711

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1942610183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 DELAWARE AVE STE 102",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161705",
            "telephone_number": "716-335-9711",
            "fax_number": "716-335-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 DELAWARE AVE STE 102",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142161705",
            "telephone_number": "716-335-9711",
            "fax_number": "716-335-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCINIAK CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "MARCINIAK",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-335-9711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Performance Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.