Organization Active NPI

Greater Buffalo United Ipa

  • Family Medicine Physician
  • Buffalo, NY
National Provider Identifier
1033484894
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
185052 Issued in NY
Legal business name
GREATER BUFFALO UNITED IPA
Doing business as
Greater Buffalo United Accountable Healthcare Network
Practice address
564 Niagara St
Buffalo, NY 14201
Phone
(716) 882-0366
Fax
(716) 830-4840
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Dr. Raul Vazquez, M.D.
Title
Chief Medical Officer
Phone
(716) 882-0366

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 185052 NY Primary
Case Management Agency 251B00000X NY

Addresses

Primary practice location

564 Niagara St
Buffalo, NY 14201

Mailing address

564 Niagara St
Buffalo, NY 14201-1108
Phone (716) 882-0366

Other names 1

  • Greater Buffalo United Accountable Healthcare Network Doing business as

National Provider Directory

National Provider Directory

Locations

564 Niagara St
Buffalo, NY 14201
Phone (716) 768-7700

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1033484894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011108",
            "telephone_number": "716-882-0366",
            "fax_number": "716-830-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14201",
            "telephone_number": "716-882-0366",
            "fax_number": "716-830-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BUFFALO UNITED IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "716-882-0366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "185052",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Buffalo United Accountable Healthcare Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greater Buffalo United Accountable Healthcare Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.