Organization Active NPI

W.J.W. Medical Products

  • Customized Equipment (DME)
  • Buffalo, NY
National Provider Identifier
1104153204
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
W.J.W. MEDICAL PRODUCTS
Practice address
1515 Kensington Ave
Buffalo, NY 14215-1436
Phone
(716) 810-3745
Fax
(716) 810-3745
NPI assigned
Nov 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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

Authorized official

Name
Walter Wolanske, C.O.F.
Title
President/ C.E.O.
Phone
(716) 810-3745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1515 Kensington Ave
Buffalo, NY 14215-1436

Mailing address

PO Box 444
Buffalo, NY 14201-0444
Phone (716) 810-3745

National Provider Directory

National Provider Directory
Tax ID family
Recoil Spinal Systems LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1104153204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142010444",
            "telephone_number": "716-810-3745",
            "fax_number": "716-810-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 KENSINGTON AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151436",
            "telephone_number": "716-810-3745",
            "fax_number": "716-810-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.J.W. MEDICAL PRODUCTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "WOLANSKE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT/ C.E.O.",
        "authorized_official_telephone_number": "716-810-3745",
        "authorized_official_credential": "C.O.F."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.