NPIMap

Organization Active NPI

Eastern Niagara Radiology & Nuclear Medicine Associates, PC

  • Diagnostic Radiology Physician
  • Buffalo, NY
National Provider Identifier
1053356865
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
EASTERN NIAGARA RADIOLOGY & NUCLEAR MEDICINE ASSOCIATES, PC
Practice address
222 Genesee St
Buffalo, NY 14203-1512
Phone
(716) 855-2866
NPI assigned
Jun 17, 2006
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Ms. Valerie Allen
Title
Manager
Phone
(315) 462-2633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

222 Genesee St
Buffalo, NY 14203-1512

Mailing address

222 Genesee St
Buffalo, NY 14203-1512
Phone (716) 855-2866

Other identifiers 1

IdentifierTypeStateIssuer
01787099MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1053356865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 GENESEE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031512",
            "telephone_number": "716-855-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 GENESEE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031512",
            "telephone_number": "716-855-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN NIAGARA RADIOLOGY & NUCLEAR MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "315-462-2633",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01787099",
            "state": "NY"
        }
    ],
    "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 Oct 11, 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.