Wny Pediatric Endocrinology, PLLC

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

Legal business name

WNY PEDIATRIC ENDOCRINOLOGY, PLLC

Practice address

8203 Main St Ste 14
Williamsville, NY 14221-6051

Phone

(585) 201-7112

Fax

(585) 201-7128

NPI assigned

Oct 3, 2018

Organization subpart

No

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

Authorized official

Name

Nadezhda Danilovich, MDNPI 1316077878

Title

Owner

Phone

(585) 201-7112

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

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

• Nadezhda Danilovich, MD

  • Pediatric Endocrinology Physician
  • Williamsville, NY
  • NPI 1316077878
  NPD Authorized official
• Shannon Fourtner, MD

  • Pediatric Endocrinology Physician
  • Williamsville, NY
  • NPI 1225111651
  NPD

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1033694294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8203 MAIN ST STE 14",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216051",
            "telephone_number": "585-201-7112",
            "fax_number": "585-201-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8203 MAIN ST STE 14",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216051",
            "telephone_number": "585-201-7112",
            "fax_number": "585-201-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WNY PEDIATRIC ENDOCRINOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "DANILOVICH",
        "authorized_official_first_name": "NADEZHDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-201-7112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02852904",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1214181",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WNY",
            "identifier": "000529154002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Endocrinology Physician in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Pediatric Endocrinology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.