Organization Active NPI

Thinfastmd Buffalo, Wisdom Medicine PLLC

  • General Practice Physician
  • Amherst, NY
National Provider Identifier
1053754044
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
263700 Issued in NY
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

Updated by the provider on Apr 10, 2013

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.