Kenwood Pediatrics

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KENWOOD PEDIATRICS

Practice address

2121 Main St, Ste 119
Buffalo, NY 14214

Phone

(716) 838-6655

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Grace Dimitroff, M.D.

Title

Physician

Phone

(716) 838-6655

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Robert Kuchuk, M.D.

  • Specialist
  • Buffalo, NY
  • NPI 1942526652
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1063611192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 KENMORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142232861",
            "telephone_number": "716-838-1560",
            "fax_number": "716-833-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MAIN ST, STE 119",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14214",
            "telephone_number": "716-838-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENWOOD PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "DIMITROFF",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "716-838-6655",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Barrett Kent, MSN-FNP
• Elizabeth Kent
• Gordon Arnold Kent I, D.M.D.
• Lora R Kent, MSW, LCSW
• Kenwell Gardens (Oakwood Senior Living)
• Mark Anthony Kenyon, MD
• Thomas Keohane, DDS
• Megan M Keough, PA
• Evan Kerl
• Eva Kerman

• Specialist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.