Organization Active NPI

General Physician, PC

  • General Practice Physician
  • Dunkirk, NY
National Provider Identifier
1093959322
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GENERAL PHYSICIAN, PC
Practice address
3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone
(716) 692-3302
NPI assigned
Apr 30, 2009
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Dr. Michael Mineo, MD
Title
Director
Phone
(716) 859-8831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

3898 Vineyard Dr
Dunkirk, NY 14048-3559

Mailing address

PO Box 488
Buffalo, NY 14240-0488
Phone (203) 944-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090818000154 NY Part B Supplier - Clinic/Group Practice 9537213079 Receives reassigned benefits from 764 practitioners
O20170824000373 PA Part B Supplier - Clinic/Group Practice 9537213079 Receives reassigned benefits from 4 practitioners
Practice locations: Bradford, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2009210General Physician, PC3898 Vineyard Drive, Dunkirk, NY 14048Provider-performed microscopyFeb 1, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 117)

100 High St
#10S
Buffalo, NY 14203

100 High St
#2
Buffalo, NY 14203

100 High St
#A2
Buffalo, NY 14203

100 High St
#B3
Buffalo, NY 14203

100 High St
#B421
Buffalo, NY 14203
Phone (716) 859-2605

100 High St
#C3
Buffalo, NY 14203
Phone (716) 859-2243

100 High St
#D3
Buffalo, NY 14203
Phone (716) 859-1168

100 High St
#X
Buffalo, NY 14203

100 High St
Bldg 6
Buffalo, NY 14203

100 High St
Fl 5
Buffalo, NY 14203

100 High St
Rm 624
Buffalo, NY 14203

100 High St
Ste B3
Buffalo, NY 14203

100 High St
Ste D1
Buffalo, NY 14203
Phone (716) 884-3000

1091 Main St
Buffalo, NY 14209
Phone (716) 242-8200

1091 Main St
Ste 3
Buffalo, NY 14209

1091 Main St
Ste 30
Buffalo, NY 14209

1091 Main St
Ste 301
Buffalo, NY 14209
Phone (716) 248-1420

1091 Main St
Ste 301GP
Buffalo, NY 14209

11 Summer St
#2W
Buffalo, NY 14209
Phone (716) 248-1420

11 Summer St
Ste 2W
Buffalo, NY 14209

1901 Main St
Fl 3
Buffalo, NY 14208

1901 Main St
Ste 301
Buffalo, NY 14208

2218 Main St
Buffalo, NY 14214
Phone (716) 834-4141

237 Linwood Ave
#1
Buffalo, NY 14209
Phone (716) 884-8018

237 Linwood Ave
#2
Buffalo, NY 14209

Practitioners & affiliated clinicians

Practitioners 968

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 968

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1093959322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142400488",
            "telephone_number": "203-944-1940",
            "fax_number": "203-402-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 VINEYARD DR",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140483559",
            "telephone_number": "716-692-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL PHYSICIAN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "MINEO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "716-859-8831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.