Active NPI
Anthony Vincent Stockus, P.A.
- Medical Physician Assistant
- Buffalo, NY
National Provider Identifier
1033201892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 008676-1
- Practice address
- 565 Abbott Rd
Buffalo, NY 14220-2039 - Phone
- (716) 828-2055
- Fax
- (716) 828-3472
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 008676-1 | NY | Primary |
Addresses
Primary practice location
565 Abbott Rd
Buffalo, NY 14220-2039
Mailing address
550 Orchard Park Rd
Suite A101
West Seneca, NY 14224-2646
Phone (716) 677-6501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008676-1 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033201892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 ORCHARD PARK RD",
"address_2": "SUITE A101",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242646",
"telephone_number": "716-677-6501",
"fax_number": "716-677-4706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 ABBOTT RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142202039",
"telephone_number": "716-828-2055",
"fax_number": "716-828-3472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKUS",
"first_name": "ANTHONY",
"middle_name": "VINCENT",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "008676-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.