Active NPI
John M Aquino
- Durable Medical Equipment & Medical Supplies
- Buffalo, NY
National Provider Identifier
1174709331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- N003211
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0544160001 | Other | NY | NHIC JURISDICTION A |
| 00743393 | 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": "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.