Organization Active NPI

Maya Devi Srivastava MD PH DPC

  • Gastroenterology Physician
  • Williamsville, NY
National Provider Identifier
1144415167
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
202393 Issued in NY
Legal business name
MAYA DEVI SRIVASTAVA MD PH DPC
Practice address
1000 Youngs Rd Ste 208
Williamsville, NY 14221-2644
Phone
(716) 688-0525
Fax
(716) 688-0569
NPI assigned
Sep 12, 2007
Last updated
Dec 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Authorized official

Name
Margaret Law
Title
Billing Manager
Phone
(716) 656-0078

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 202393 NY
Gastroenterology Physician 207RG0100X 202393 NY Primary

Addresses

Primary practice location

1000 Youngs Rd Ste 208
Williamsville, NY 14221-2644

Mailing address

1000 Youngs Rd Ste 208
Williamsville, NY 14221-2644
Phone (716) 688-0525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050926000986 NY Part B Supplier - Clinic/Group Practice 8527092824 Receives reassigned benefits from 1 practitioner
Practice locations: Williamsville, NY

National Provider Directory

National Provider Directory

Locations

1000 Youngs Rd
Ste 208
Williamsville, NY 14221
Phone (716) 688-0525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1144415167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 YOUNGS RD STE 208",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212644",
            "telephone_number": "716-688-0525",
            "fax_number": "716-688-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 YOUNGS RD STE 208",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212644",
            "telephone_number": "716-688-0525",
            "fax_number": "716-688-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYA DEVI SRIVASTAVA MD PH DPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "716-656-0078"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "202393",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "202393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.