Individual provider Active NPI

Philip Slepian

  • Medical Physician Assistant
  • Buffalo, NY
National Provider Identifier
1174158729
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
024796 Issued in NY
Practice address
1783 Colvin Blvd
Buffalo, NY 14223-1107
Phone
(716) 874-2150
Fax
(716) 874-6765
NPI assigned
Mar 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 024796 NY Primary

Addresses

Primary practice location

1783 Colvin Blvd
Buffalo, NY 14223-1107

Mailing address

1783 Colvin Blvd
Buffalo, NY 14223-1107
Phone (716) 874-2150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200326003504 NY Practitioner - Physician Assistant 1759710718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northtowns Medical Group, P.C.Group PAC ID 9234142837, 5 clinicians

Practice addresses (Care Compare)

1783 Colvin Blvd
Buffalo, NY 14223-1107
Phone (716) 874-2150

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: pslepian@nmg.medentdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1174158729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 COLVIN BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231107",
            "telephone_number": "716-874-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 COLVIN BLVD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231107",
            "telephone_number": "716-874-2150",
            "fax_number": "716-874-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEPIAN",
        "first_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "024796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.