NPIMap

Organization Active NPI

Wny Internal Medicine P.C.

Doing business as Wny Primary Care Medicine

  • Internal Medicine Physician
  • North Tonawanda, NY
National Provider Identifier
1124075908
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
212275 Issued in NY
Legal business name
WNY INTERNAL MEDICINE P.C.
Doing business as
Wny Primary Care Medicine
Practice address
445 Tremont St
North Tonawanda, NY 14120-6150
Phone
(716) 690-2291
Fax
(716) 690-2369
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Dr. Ghous A Yasin, M.D.NPI 1982695649
Title
Physician/President
Phone
(716) 690-2291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 212275 NY Primary

Addresses

Primary practice location

445 Tremont St
North Tonawanda, NY 14120-6150

Mailing address

445 Tremont St
North Tonawanda, NY 14120-6150
Phone (716) 690-2291

Other names 1

  • WNY PRIMARY CARE MEDICINE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1124075908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 TREMONT ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141206150",
            "telephone_number": "716-690-2291",
            "fax_number": "716-690-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 TREMONT ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141206150",
            "telephone_number": "716-690-2291",
            "fax_number": "716-690-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WNY INTERNAL MEDICINE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "YASIN",
        "authorized_official_first_name": "GHOUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "716-690-2291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WNY PRIMARY CARE MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.