NPIMap

Individual provider Active NPI

David Lafferty

  • Otolaryngology Physician
  • Newark, DE
National Provider Identifier
1063952463
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
320800-01 Issued in NY
Practice address
700 Prides Xing Ste 200
Newark, DE 19713-6109
Phone
(302) 998-0300
NPI assigned
Mar 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 320800-01 NY Primary

Addresses

Primary practice location

700 Prides Xing Ste 200
Newark, DE 19713-6109

Mailing address

4190 City Ave
Philadelphia, PA 19131-1626

Other practice location 1

3670 S Benzing Rd Ste C
Orchard Park, NY 14127-1741
Phone (716) 675-5711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230619000587 NY Practitioner - Otolaryngology 9133509409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Ear, Nose and Throat, P.C.Group PAC ID 5193762235, 9 clinicians

Practice addresses (Care Compare)

3670 S Benzing Rd
Suite C
Orchard Park, NY 14127-1741
Phone (716) 675-5711

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
320800-01NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Ear, Nose & Throat, P.C. CurrentSince Jul 31, 2023 Accepting new patients
ENT and Allergy of Delaware LLC CurrentSince Jan 22, 2023 Accepting new patients

Locations

700 Prides Xing
Ste 200
Newark, DE 19713

3670 S Benzing Rd
Ste C
Orchard Park, NY 14127
Phone (716) 675-5711

6255 Sheridan Dr
Ste 108
Williamsville, NY 14221
Phone (716) 630-1219

Interoperability endpoints

  • Direct secure messaging: david@wnyent.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1063952463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 CITY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PRIDES XING STE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197136109",
            "telephone_number": "302-998-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3670 S Benzing Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271741",
            "country_code": "US",
            "telephone_number": "716-675-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFFERTY",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "320800-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.