Individual provider Active NPI

Naif Abdullah Aldhaam, MD

  • Urology Physician
  • Buffalo, NY
National Provider Identifier
1114570868
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
100524-01 Issued in NY
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

LicenseStateTypeSpecialty
100524-01NYMDUrology Physician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 100524-01 NY Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
100524-01OtherNYUNIVERSITY OF THE STATE OF NEW YORK - NEW YORK STATE EDUCATION DEPARTMENT

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.