NPIMap

Organization Active NPI

Excelsior Orthopaedics, LLP

  • Orthopaedic Surgery Physician
  • Amherst, NY
National Provider Identifier
1003058462
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
EXCELSIOR ORTHOPAEDICS, LLP
Practice address
4020 Sheridan Dr
Amherst, NY 14226-1729
Phone
(716) 250-9999
NPI assigned
Apr 1, 2009
Last updated
Mar 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Lisa Laski
Title
Executive Assistant
Phone
(716) 250-6409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

4020 Sheridan Dr
Amherst, NY 14226-1729

Mailing address

3925 Sheridan Dr
Amherst, NY 14226-1738
Phone (716) 250-6409

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230120000775 NY DME Supplier - Physician - General Practice 2062491517 Practice locations: Amherst, NY

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Excelsior Orthopaedics LLP4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3915 Sheridan Dr
Amherst, NY 14226
Phone (716) 632-7465

4020 Sheridan Dr
Amherst, NY 14226

438 Main St
Ste 103
Buffalo, NY 14202
Phone (716) 250-6500

8750 Transit Rd
Ste 100
East Amherst, NY 14051
Phone (716) 250-6500

6831 Seneca St
Ste A
Elma, NY 14059
Phone (716) 906-5564

1 Colomba Dr
Niagara Falls, NY 14305
Phone (716) 298-1273

10175 Niagara Falls Blvd
#2
Niagara Falls, NY 14304

10195 Niagara Falls Blvd
#100
Niagara Falls, NY 14304

240 Red Tail Rd
#12
Orchard Park, NY 14127

240 Red Tail Rd
Ste 12
Orchard Park, NY 14127
Phone (716) 649-6500

3045 Southwestern Blvd
Ste 108
Orchard Park, NY 14127
Phone (716) 713-0464

3055 Southwestern Blvd
#6
Orchard Park, NY 14127
Phone (716) 674-0040

3670 S Benzing Rd
Ste K
Orchard Park, NY 14127
Phone (716) 250-6500

Practitioners & affiliated clinicians

Practitioners 182

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 182

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1003058462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 SHERIDAN DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261738",
            "telephone_number": "716-250-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 SHERIDAN DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261729",
            "telephone_number": "716-250-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR ORTHOPAEDICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "LASKI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "716-250-6409"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "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 Mar 10, 2022; 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.