Community Pediatrics of Wny, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

COMMUNITY PEDIATRICS OF WNY, PLLC

Practice address

741 Davison Rd
Lockport, NY 14094-5214

Phone

(716) 433-6666

Fax

(716) 524-6736

NPI assigned

Oct 27, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Lubna Syed Guru, MDNPI 1558304295

Title

MD

Phone

(716) 433-6666

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Lubna Syed Guru, MD

  • Pediatrics Physician
  • Newfane, NY
  • NPI 1558304295
  NPD Authorized official
• Emily Elizabeth Johnson, PA-C

  • Medical Physician Assistant
  • Buffalo, NY
  • NPI 1932880796
  NPD (past)

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1073113346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945214",
            "telephone_number": "716-433-6666",
            "fax_number": "716-524-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945214",
            "telephone_number": "716-433-6666",
            "fax_number": "716-524-6736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 Davison Rd",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "NY",
            "postal_code": "140945214",
            "country_code": "US",
            "telephone_number": "716-433-6666",
            "fax_number": "716-524-6736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY PEDIATRICS OF WNY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "GURU",
        "authorized_official_first_name": "LUBNA",
        "authorized_official_middle_name": "SYED",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "716-433-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taija-Rae Cochran, MSW
• Adrienne D Cohan, LCSW
• Ann Catherine Coia, RN, ANP
• Luann Coleman, RN
• Maryellen D Colling, CCC/SLP
• John Richard Comstock, PHYSICAL THERAPIST
• Charlene L Conley, FNP
• Evan Conley, DDS
• Joseph F Corigliano, DO
• Mark Joseph Costello, PT

• Primary Care Clinic/Center in Lockport, NY
• Providers in Lockport, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.