MALTA CHIROPRACTIC PC (NPI# 1790283182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790283182 |
| Entity Type | Organization |
| Organization Name | MALTA CHIROPRACTIC PC |
| Practice Address |
10 Blacksmith Dr Ste 1 Ballston Spa NY 12020-4428 |
| Practice Telephone | 5182895229 |
| Mailing Telephone | 5182895229 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | DR. WAQAS PERVAIZ (CHIROPRACTOR) |
| Authorized Official Telephone | 5182895229 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
X006175-1 | NY | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | X012859-1 | NY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPI | 1447301049 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2460 State Route 9, Ballston Spa, NY 120204408 | 5182895229 | |
| Blacksmith Drive, Ste 3, Ballston Spa, NY 120204428 | 5182895229 |
| Street Address |
10 BLACKSMITH DR STE 1 |
| City | BALLSTON SPA |
| State | NY |
| Zip Code | 12020-4428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053865618 | Waqas Pervaiz | Chiropractor | 10 Blacksmith Dr Ste 1, Ballston Spa, NY 12020-4428 | 2016-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811529415 | Peter Joseph Valastro Jr. | Registered Nurse | 2452 Us Rt 9 Suite 206, Malta, NY 12020 | 2020-02-11 |
| 1083257224 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 3 Via Rossi Way, Ballston Spa, NY 12020 | 2019-10-21 |
| 1528542255 | Mary Szacik | Social Worker | 2452 Us Rt. 9, Suite 206, Malta, NY 12020 | 2018-09-19 |
| 1669966867 | Adam Smatko | Social Worker | 2452 Us Route 9, Suite 206, Malta, NY 12020 | 2018-06-20 |
| 1538665104 | Tressa Frese | Counselor | 35 Bath Street, Ballston Spa, NY 12020 | 2018-04-03 |
| 1902312556 | Maltavista Optometry, Pllc | Optometrist | 2715 Rt 9, Suite 204, Malta, NY 12020 | 2017-12-19 |
| 1497207294 | Julie Lapham | Counselor | 100 Saratoga Village Blvd. Suite 26, Malta, NY 12020 | 2016-10-27 |
| 1932656527 | Matthew Kattell | Physical Therapist | 4102 Ellsworth Boulevard, Malta, NY 12020 | 2016-09-01 |
| 1295134740 | Nnenna Lindsay | Psychologist | 15 Trieble Avenue, Suite 5 Pmb 1013, Ballston Spa, NY 12020 | 2014-08-21 |
| 1023425956 | Jessica Duell | Registered Nurse | 603 Sweetman Road, Ballston Spa, NY 12020 | 2014-07-11 |
| Find all providers in zip 12020 | ||||
| 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 |
|---|---|---|---|---|
| 1053865618 | Waqas Pervaiz | Chiropractor | 10 Blacksmith Dr Ste 1, Ballston Spa, NY 12020-4428 | 2016-08-11 |
| 1831282656 | Roger Lucien Pitman | Chiropractor | 221 W High St, Ballston Spa, NY 12020-1923 | 2006-10-02 |
| 1891701991 | Michael Matthew Quartararo | Chiropractor | 402 Rowland St, Ballston Spa, NY 12020-2684 | 2006-07-31 |
| 1134429434 | Ballston Chiropractic Office, PC | Chiropractor | 76 Greenfield Ave, Ballston Spa, NY 12020-2423 | 2010-11-02 |
| 1649321241 | Eileen Elaine Walsh | Chiropractor | 76 Greenfield Ave, Ballston Spa, NY 12020-2423 | 2007-01-12 |
| 1174694038 | Adirondack Advanced Chiropractic, PC | Chiropractor | 402 Rowland St, Ballston Spa, NY 12020-2684 | 2006-11-13 |
| 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 | BALLSTON SPA |
| Zip Code | 12020 |
Please comment or provide details below to improve the information on MALTA CHIROPRACTIC PC.
| 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.