Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1689761272 Deactivated / Inactive NPI Female Practitioner

Dr. Patricia Ann Bubach , DC

Chiropractor • Central Square, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Patricia Bubach has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 06, 2006
NPI Deactivation Date May 02, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Patricia Bubach, DC was a registered Chiropractor practicing in Central Square, NY. Throughout an active medical career spanning 11 years, Dr. Bubach provided care at the practice location at 628 S MAIN ST until profile deactivation on 2017-05-02.

Practice Location & Contact Primary Location

Practice Address

628 S Main St

Central Square, NY 130360644

Telephone 3156764380
Fax 8555410540

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Central Square, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 28.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Central Square, NY (4796 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License NY 53424B

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 02, 2017

Record deactivated on May 02, 2017

NPI Profile Active August 10, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 10, 2012

Registered at 628 S MAIN ST, CENTRAL SQUARE, NY 130360644 (Tel: 3156764380)

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Updated Business Mailing Address August 10, 2012

Registered at 628 S MAIN ST, PO BOX 644, CENTRAL SQUARE, NY 130363503 (Tel: 3156764380)

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Provider Name / Credentials Updated August 10, 2012

Recorded as PATRICIA BUBACH, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2012

Chiropractor (License #53424B in NY)

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Initial NPI Registration & Enumeration October 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689761272
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: August 10, 2012
Deactivation Date: May 02, 2017

Mailing Address

628 S Main St, Po Box 644

Central Square, NY 130363503

Phone: 3156764380

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.