Active NPI
Vincent Olin Carfagna, M.D.
- Family Medicine Physician
- Orchard Park, NY
National Provider Identifier
1073613196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 086317
- Practice address
- 6300 Powers Rd
Orchard Park, NY 14127-3216 - Phone
- (716) 667-3200
- Fax
- (716) 667-3120
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 086317 | NY | Primary |
Addresses
Primary practice location
6300 Powers Rd
Orchard Park, NY 14127-3216
Mailing address
6300 Powers Rd
Orchard Park, NY 14127-3216
Phone (716) 667-3200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00603750 | Medicaid | NY | |
| 00010201801 | Other | NY | UNIVERA HEALTHCARE |
| 000502255001 | Other | NY | BLUE CROSS AND BLUE SHIEL |
| 0101548 | Other | NY | INDEPENDENT HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086317 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital of Buffalo | Past | Accepting new patients | |
| Preferred Physician Care, PC | Family Medicine | Past | Accepting new patients |
| General Physician, PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- Internal Medicine Physician
- Williamsville, NY
- NPI 1811266786
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324512000000",
"number": "1073613196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 POWERS RD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141273216",
"telephone_number": "716-667-3200",
"fax_number": "716-667-3120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 POWERS RD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141273216",
"telephone_number": "716-667-3200",
"fax_number": "716-667-3120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARFAGNA",
"first_name": "VINCENT",
"middle_name": "OLIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2011-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "086317",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00603750",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA HEALTHCARE",
"identifier": "00010201801",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "000502255001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "0101548",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.