Organization Active NPI

Denardin Family Practice PLLC

  • Family Medicine Physician
  • Amherst, NY
National Provider Identifier
1003002577
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
219474 Issued in NY
Legal business name
DENARDIN FAMILY PRACTICE PLLC
Practice address
4949 Harlem Rd
Amherst, NY 14226-2500
Phone
(716) 839-1690
Fax
(716) 839-6743
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Margaret Law
Title
Billing Manager
Phone
(716) 656-0078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 219474 NY Primary

Addresses

Primary practice location

4949 Harlem Rd
Amherst, NY 14226-2500

Mailing address

4949 Harlem Rd
Amherst, NY 14226-2500
Phone (716) 839-1690

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040817000342 NY Part B Supplier - Clinic/Group Practice 1456324599 Receives reassigned benefits from 2 practitioners
Practice locations: Amherst, NY

National Provider Directory

National Provider Directory

Locations

4949 Harlem Rd
Ste 404
Buffalo, NY 14226
Phone (716) 839-1690

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1003002577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 HARLEM RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262500",
            "telephone_number": "716-839-1690",
            "fax_number": "716-839-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 HARLEM RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142262500",
            "telephone_number": "716-839-1690",
            "fax_number": "716-839-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENARDIN FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "716-656-0078"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "219474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.