Active NPI
Michael James Anzalone, DC
- Chiropractor
- Hamburg, NY
National Provider Identifier
1972526150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7388
- Practice address
- 5449 Southwestern Blvd
Hamburg, NY 14075 - Phone
- (716) 646-4000
- Fax
- (716) 646-0694
- NPI assigned
- Jul 26, 2006
- Last updated
- Feb 27, 2008
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7388 | NY | Primary |
Addresses
Primary practice location
5449 Southwestern Blvd
Hamburg, NY 14075
Mailing address
5449 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 646-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120301000353 | NY | Practitioner - Chiropractic | 2668630146 | Practice locations: Hamburg, NY; Williamsville, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5449 Southwestern Blvd
Hamburg, NY 14075-3503
Phone (716) 312-7483
Omni Pain and Wellness Ctr
4855 Camp Rd
Hamburg, NY 14075-2600
Phone (716) 312-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7388 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1972526150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5449 SOUTHWESTERN BLVD",
"city": "HAMBURG",
"state": "NY",
"postal_code": "14075",
"telephone_number": "716-646-4000",
"fax_number": "716-646-0694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5449 SOUTHWESTERN BLVD",
"city": "HAMBURG",
"state": "NY",
"postal_code": "14075",
"telephone_number": "716-646-4000",
"fax_number": "716-646-0694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANZALONE",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "7388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.