Active NPI
Naif Abdullah Aldhaam, MD
- Urology Physician
- Buffalo, NY
National Provider Identifier
1114570868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 100524-01
- Practice address
- 665 Elm St
Buffalo, NY 14203-1104 - Phone
- (716) 845-3389
- NPI assigned
- Jul 22, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100524-01 | NY | MD | Urology Physician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 100524-01 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
665 Elm St
Buffalo, NY 14203-1104
Mailing address
95 Spring Meadow Dr Apt 7
Williamsville, NY 14221-8417
Phone (716) 408-6412
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100524-01 | Other | NY | UNIVERSITY OF THE STATE OF NEW YORK - NEW YORK STATE EDUCATION DEPARTMENT |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | @roswellpark.org |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2019.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1114570868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 SPRING MEADOW DR APT 7",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218417",
"telephone_number": "716-408-6412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 ELM ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031104",
"telephone_number": "716-845-3389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDHAAM",
"first_name": "NAIF",
"middle_name": "ABDULLAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-22",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "100524-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY OF THE STATE OF NEW YORK - NEW YORK STATE EDUCATION DEPARTMENT",
"identifier": "100524-01",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "@roswellpark.org",
"affiliation": "N",
"address_1": "665 Elm St",
"city": "Buffalo",
"state": "NY",
"country_code": "US",
"postal_code": "142031104",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.