The National Witness Project, Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

THE NATIONAL WITNESS PROJECT, INC

Doing business as

The National Witness Project, Inc.

Practice address

669 Kensington Ave
Buffalo, NY 14215-2644

Phone

(716) 845-1389

Fax

(716) 845-4069

NPI assigned

Aug 17, 2015

Last updated

Jan 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Detric Dee Johnson

Title

Project Director

Phone

(716) 550-6354

Specialties & licenses 1

Addresses

Other names 1

• The National Witness Project, Inc. Doing business as

Locations

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1073989851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 KENSINGTON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152644",
            "telephone_number": "716-832-7566",
            "fax_number": "716-845-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 KENSINGTON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152644",
            "telephone_number": "716-845-1389",
            "fax_number": "716-845-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NATIONAL WITNESS PROJECT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DETRIC",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "PROJECT DIRECTOR",
        "authorized_official_telephone_number": "716-550-6354"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The National Witness Project, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Point of Service in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Point of Service in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.