Organization Active NPI

Buffalo Shore Medical PLLC

  • Medical Specialty Clinic/Center
  • Kenmore, NY
National Provider Identifier
1114402922
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
BUFFALO SHORE MEDICAL PLLC
Practice address
3800 Delaware Ave
Kenmore, NY 14217-1094
Phone
(716) 873-3828
Fax
(716) 873-5463
NPI assigned
Sep 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Authorized official

Name
Dr. Satish Sharma, MDNPI 1578757738
Title
President
Phone
(716) 206-4590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

3800 Delaware Ave
Kenmore, NY 14217-1094

Mailing address

485 Cayuga Rd
Buffalo, NY 14225-1368
Phone (716) 206-4590

National Provider Directory

National Provider Directory

Locations

485 Cayuga Rd
Buffalo, NY 14225
Phone (716) 626-4100

485 Cayuga Rd
Ste 100
Buffalo, NY 14225

3800 Delaware Ave
Ste 4
Kenmore, NY 14217
Phone (716) 873-3828

817 Main St
Niagara Falls, NY 14301
Phone (716) 284-2222

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1114402922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 CAYUGA RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251368",
            "telephone_number": "716-206-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171094",
            "telephone_number": "716-873-3828",
            "fax_number": "716-873-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO SHORE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-206-4590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.