Active NPI
Thinfastmd Buffalo, Wisdom Medicine PLLC
- General Practice Physician
- Amherst, NY
National Provider Identifier
1053754044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 263700
- Legal business name
- THINFASTMD BUFFALO, WISDOM MEDICINE PLLC
- Practice address
- 3380 Sheridan Dr
Suite 328
Amherst, NY 14226-1439 - Phone
- (716) 898-8335
- NPI assigned
- Apr 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohammed A Mohiuddin, M.D
- Title
- President
- Phone
- (716) 898-8335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 263700 | NY | Primary |
Addresses
Primary practice location
3380 Sheridan Dr
Suite 328
Amherst, NY 14226-1439
Mailing address
7060 Erie Rd
Suite 100
Derby, NY 14047-9430
National Provider Directory
National Provider DirectoryLocations
7060 Erie Rd
Ste 100
Derby, NY 14047
Phone (716) 947-0408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365552000000",
"number": "1053754044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7060 ERIE RD",
"address_2": "SUITE 100",
"city": "DERBY",
"state": "NY",
"postal_code": "140479430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380 SHERIDAN DR",
"address_2": "SUITE 328",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261439",
"telephone_number": "716-898-8335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THINFASTMD BUFFALO, WISDOM MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-10",
"last_updated": "2013-04-10",
"status": "A",
"authorized_official_last_name": "MOHIUDDIN",
"authorized_official_first_name": "MOHAMMED",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "716-898-8335",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "NY",
"license": "263700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.