Active NPI
Ear,Nose&Throat Care of Wny PC
- Otolaryngology Physician
- Williamsville, NY
National Provider Identifier
1154430387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- EAR,NOSE&THROAT CARE OF WNY PC
- Practice address
- 531 Farber Lakes Dr
Williamsville, NY 14221-5773 - Phone
- (716) 634-6224
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond Vincent Paolini Jr., M.D.
- Title
- Owner Physician
- Phone
- (716) 634-6224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
531 Farber Lakes Dr
Williamsville, NY 14221-5773
Mailing address
531 Farber Lakes Dr
Williamsville, NY 14221-5773
Phone (716) 634-6224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01766581 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154430387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 FARBER LAKES DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215773",
"telephone_number": "716-634-6224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 FARBER LAKES DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215773",
"telephone_number": "716-634-6224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAR,NOSE&THROAT CARE OF WNY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PAOLINI",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "VINCENT",
"authorized_official_title_or_position": "OWNER PHYSICIAN",
"authorized_official_telephone_number": "716-634-6224",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01766581",
"state": "NY"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.