Organization Active NPI

John M Aquino

  • Durable Medical Equipment & Medical Supplies
  • Buffalo, NY
National Provider Identifier
1174709331
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N003211 Issued in NY
Legal business name
JOHN M AQUINO
Practice address
2047 Clinton Street
Buffalo, NY 14206
Phone
(716) 827-0100
Fax
(716) 825-1381
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Dr. John Michael Aquino, DPM
Title
Podiatrist
Phone
(716) 827-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X N003211 NY Primary

Addresses

Primary practice location

2047 Clinton Street
Buffalo, NY 14206

Mailing address

2047 Clinton Street
Buffalo, NY 14206
Phone (716) 827-0100

Other identifiers 2

IdentifierTypeStateIssuer
0544160001OtherNYNHIC JURISDICTION A
00743393MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1174709331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 CLINTON STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14206",
            "telephone_number": "716-827-0100",
            "fax_number": "716-825-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 CLINTON STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14206",
            "telephone_number": "716-827-0100",
            "fax_number": "716-825-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M AQUINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "716-827-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N003211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC JURISDICTION A",
            "identifier": "0544160001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00743393",
            "state": "NY"
        }
    ],
    "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 Jul 19, 2010; 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.