Active NPI
Mohammad T. Jaffri, MD
- Family Medicine Physician
- Buffalo, NY
National Provider Identifier
1114967486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 203272
- Practice address
- 1263 Delaware Avenue
Brylin Hospitals
Buffalo, NY 14209 - Phone
- (716) 886-8200
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 203272 | NY | Primary |
Addresses
Primary practice location
1263 Delaware Avenue
Brylin Hospitals
Buffalo, NY 14209
Mailing address
8162 Golden Oak Cir
Williamsville, NY 14221-8502
Phone (716) 688-6309
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110490 | Other | NY | INDEPENDENT HEALTH |
| 00010303802 | Other | NY | UNIVERA |
| 000524685004 | Other | NY | BLUE CROSS |
| 01775740 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041119000642 | NY | Practitioner - Family Practice | 1951366863 | Practice locations: Buffalo, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203272 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1114967486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8162 GOLDEN OAK CIR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218502",
"telephone_number": "716-688-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1263 DELAWARE AVENUE",
"address_2": "BRYLIN HOSPITALS",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14209",
"telephone_number": "716-886-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFRI",
"first_name": "MOHAMMAD",
"middle_name": "T.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "203272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "0110490",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010303802",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000524685004",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01775740",
"state": "NY"
}
],
"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 Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.