Organization Active NPI

Wny Adult and Child Neurology, PC

  • Medical Specialty Clinic/Center
  • East Amherst, NY
National Provider Identifier
1104085828
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
238610-1 Issued in NY
Legal business name
WNY ADULT AND CHILD NEUROLOGY, PC
Practice address
4772 N French Rd
East Amherst, NY 14051-1427
Phone
(716) 404-2604
Fax
(716) 404-2692
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Dr. Alexander V Rovner, MDNPI 1326097403
Title
Owner
Phone
(716) 404-2604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 238610-1 NY Primary

Addresses

Primary practice location

4772 N French Rd
East Amherst, NY 14051-1427

Mailing address

4772 N French Rd
East Amherst, NY 14051-2176
Phone (716) 404-2604

Other identifiers 2

IdentifierTypeStateIssuer
00027713002OtherNYUNIVERA HEALTHCARE
0514007OtherNYINDEPENDENT HEALTH

Other names 1

  • Alexander V Rovner, LPPC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080619000291 NY Part B Supplier - Clinic/Group Practice 2860563897 Receives reassigned benefits from 2 practitioners
Practice locations: East Amherst, NY

National Provider Directory

National Provider Directory

Locations

3980 Sheridan Dr
Ste 100
Amherst, NY 14226
Phone (718) 250-2000

3980 Sheridan Dr
#200
Amherst, NY 14226

4772 N French Rd
East Amherst, NY 14051
Phone (716) 404-2604

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1104085828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4772 N FRENCH RD",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512176",
            "telephone_number": "716-404-2604",
            "fax_number": "716-404-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4772 N FRENCH RD",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511427",
            "telephone_number": "716-404-2604",
            "fax_number": "716-404-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WNY ADULT AND CHILD NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "ROVNER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-404-2604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "238610-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00027713002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0514007",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexander V Rovner, LPPC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in East Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.