Individual provider Active NPI

Ali Ahmad Ishaq Al-Daghmin

  • Urology Physician
  • Buffalo, NY
National Provider Identifier
1134465404
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
P85263 Issued in NY
Practice address
Elm and Carlton St
Cell and Virus Building 216
Buffalo, NY 14263-0001
Phone
(716) 845-8813
NPI assigned
Dec 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X P85263 NY Primary

Addresses

Primary practice location

Elm and Carlton St
Cell and Virus Building 216
Buffalo, NY 14263-0001

Mailing address

6 Spindrift CT
Aprt 4
Buffalo, NY 14221-7839
Phone (716) 352-6667

Other names 1

  • Ali Al-Daghmin Professional name

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

State licenses

LicenseStateTypeSpecialty
P85263NYMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1134465404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SPINDRIFT CT",
            "address_2": "APRT 4",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142217839",
            "telephone_number": "716-352-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON ST",
            "address_2": "CELL AND VIRUS BUILDING 216",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142630001",
            "telephone_number": "716-845-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-DAGHMIN",
        "first_name": "ALI",
        "middle_name": "AHMAD ISHAQ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "P85263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALI",
            "last_name": "AL-DAGHMIN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Dec 14, 2012; 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.