Organization Active NPI

Shaymal Mozumdar M.D. P.C.

  • Internal Medicine Physician
  • Lockport, NY
National Provider Identifier
1043270192
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SHAYMAL MOZUMDAR M.D. P.C.
Practice address
26 Davison CT
Lockport, NY 14094-5370
Phone
(716) 433-7921
NPI assigned
Mar 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Shaymal Mozumdar, M.D.NPI 1972563898
Title
Physician
Phone
(716) 433-7921

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

26 Davison CT
Lockport, NY 14094-5370

Mailing address

PO Box 3260
Buffalo, NY 14240-3260
Phone (716) 433-7921

National Provider Directory

National Provider Directory

Locations

26 Davison Ct
Lockport, NY 14094
Phone (716) 433-7921

5858 Snyder Dr
Lockport, NY 14094
Phone (716) 433-7921

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1043270192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3260",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142403260",
            "telephone_number": "716-433-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 DAVISON CT",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945370",
            "telephone_number": "716-433-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAYMAL MOZUMDAR M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "MOZUMDAR",
        "authorized_official_first_name": "SHAYMAL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "716-433-7921",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.