Organization Active NPI

Eric P Roger MD PLLC

  • Neurological Surgery Physician
  • Buffalo, NY
National Provider Identifier
1144659541
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ERIC P ROGER MD PLLC
Practice address
869 Delaware Ave Ste 1
Buffalo, NY 14209-2099
Phone
(716) 853-2225
Fax
(716) 803-6359
NPI assigned
Nov 6, 2013
Last updated
Dec 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Eric P Roger, MDNPI 1477561280
Title
Owner
Phone
(716) 853-2225

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
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

869 Delaware Ave Ste 1
Buffalo, NY 14209-2099

Mailing address

PO Box 8000 Dept 915
Buffalo, NY 14267-0002
Phone (716) 389-3269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20131120000121 NY Part B Supplier - Clinic/Group Practice 5799911889 Receives reassigned benefits from 5 practitioners
Practice locations: Buffalo, NY; Williamsville, NY; Amherst, NY
O20150911001755 NY DME Supplier - Physician - General Practice 5799911889 Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory

Locations

869 Delaware Ave
Ste 1
Buffalo, NY 14209
Phone (716) 853-2225

Practitioners & affiliated clinicians

Practitioners 5

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": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1144659541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000 DEPT 915",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670002",
            "telephone_number": "716-389-3269",
            "fax_number": "716-639-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 DELAWARE AVE STE 1",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092099",
            "telephone_number": "716-853-2225",
            "fax_number": "716-803-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC P ROGER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "ROGER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-853-2225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 12, 2024; 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.