DR. PAULA RUTH WATERBURY (NPI# 1174606651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174606651 |
| Entity Type | Individual |
| Full Name | DR. PAULA RUTH WATERBURY |
| Credential | DC |
| Practice Address |
Tamarac Plaza 3991 Route 2 Cropseyville NY 12052 |
| Practice Telephone | 5182790183 |
| Practice Fax Number | 5182790701 |
| Mailing Telephone | 5182790183 |
| Mailing Fax Number | 5182790701 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X009923-1 | NY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BC/BS | X31301141830952 | 01 |
| NY | WORKERS COMPENSATION | CO9923-6B | 01 |
| NY | CDPHP | 10058438 | 01 |
| Street Address |
TAMARAC PLAZA 3991 ROUTE 2 |
| City | CROPSEYVILLE |
| State | NY |
| Zip Code | 12052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801012091 | Waterbury Chiropractic | Chiropractor | Tamarac Plaza, 3991 Rte 2, Cropseyville, NY 12052 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013157874 | Brunswick Physical Therapy Pllc | Clinic/Center | 4164 Ny2, Cropseyville, NY 12052 | 2009-03-05 |
| 1134202716 | Peter St. Germain | Physical Medicine & Rehabilitation | 4164 Ny Route 2, Cropseyville, NY 12052 | 2006-10-24 |
| 1487620589 | Susan P Opar | Family Medicine | 4164 Route 2, Cropseyville, NY 12052 | 2006-02-27 |
| 1184173635 | Anneliese Provost | Nurse Practitioner | 4164 Route 2, Cropseyville, NY 12052 | 2016-09-26 |
| 1891879730 | Wendy D'avella | Nurse Practitioner | 4164 Route 2, Cropseyville, NY 12052 | 2006-10-25 |
| 1619051471 | Paul Menge | Family Medicine | 4164 Route 2, Cropseyville, NY 12052 | 2006-10-25 |
| 1326122185 | Robert Marshall | Family Medicine | 4164 Route 2, Cropseyville, NY 12052 | 2006-10-25 |
| 1962586727 | Richard Orsi | Family Medicine | 4164 Route 2, Cropseyville, NY 12052 | 2006-10-25 |
| 1952541096 | Angela S Tomaro | Specialist | 1386 Blue Factory Hill Rd, Cropseyville, NY 12052-3017 | 2009-03-03 |
| 1952565848 | Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | 3991 State Rte 2, Cropseyville, NY 12052-9998 | 2008-07-10 |
| Find all providers in zip 12052 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801012091 | Waterbury Chiropractic | Chiropractor | Tamarac Plaza, 3991 Rte 2, Cropseyville, NY 12052 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980959 | Jay Rosenbluth | Chiropractor | 501 5th Ave Rm 809, New York, NY 10017-7809 | 2020-10-20 |
| 1457959223 | Howard Joseph Baron | Chiropractor | 360 Shore Rd Apt 6b, Long Beach, NY 11561-4374 | 2020-10-14 |
| 1003414079 | Brett John Poniros | Chiropractor | 220 Tompkins Ave, Pleasantville, NY 10570-3146 | 2020-10-13 |
| 1528675923 | Dominic Estevez | Chiropractor | 361 N Broadway, Lindenhurst, NY 11757-3302 | 2020-09-29 |
| 1457963969 | Mariella Townsend | Chiropractor | 220 S Service Rd Ste 12, Roslyn Heights, NY 11577-2131 | 2020-08-18 |
| 1235740275 | Andrea Hope Levin | Chiropractor | 280 Beaumont St, Brooklyn, NY 11235-4121 | 2020-08-13 |
| 1326657354 | David Gurpegui | Chiropractor | 13263 Maple Ave Apt 2r, Flushing, NY 11355-4417 | 2020-07-27 |
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1700404027 | Amy J Lin | Chiropractor | 8225 Queens Blvd Ste 1a, Elmhurst, NY 11373-4242 | 2020-07-13 |
| 1124646856 | Brayana Lashay Dudley | Chiropractor | 25 Scott Ln, Rochester, NY 14624-3919 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | CROPSEYVILLE |
| Zip Code | 12052 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.