Active NPI
Excelsior Orthopaedics LLP
- Orthopaedic Surgery Physician
- Orchard Park, NY
National Provider Identifier
1013289057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- EXCELSIOR ORTHOPAEDICS LLP
- Practice address
- 260 Red Tail Rd
Orchard Park, NY 14127-1562 - Phone
- (716) 250-9999
- Fax
- (716) 250-6555
- NPI assigned
- Feb 7, 2012
- Last updated
- Mar 10, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary |
Addresses
Primary practice location
260 Red Tail Rd
Orchard Park, NY 14127-1562
Mailing address
3925 Sheridan Dr
Amherst, NY 14226-1738
Phone (716) 250-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930097673 | NY | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 2062491517 |
1 other NPI on this enrollment Practice locations: Orchard Park, NY |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Orthopaedic Surgery Physician
- Niagara Falls, NY
- NPI 1295078202
2062491517
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Excelsior Orthopaedics LLP
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- East Amherst, NY
- NPI 1104412105
-
- Orthopaedic Surgery Physician
- Niagara Falls, NY
- NPI 1295078202
-
- Orthopaedic Surgery Physician
- Amherst, NY
- NPI 1003058462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646870400000",
"number": "1013289057",
"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": "716-250-9999",
"fax_number": "716-250-4177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 RED TAIL RD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271562",
"telephone_number": "716-250-9999",
"fax_number": "716-250-6555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELSIOR ORTHOPAEDICS LLP",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-07",
"last_updated": "2022-03-10",
"certification_date": "2020-12-22",
"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 Orchard Park, 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.