Active NPI
Manar Kustiro, BA, MSW
- Social Worker
- Buffalo, NY
National Provider Identifier
1194374686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 463 William St
Buffalo, NY 14204-1811 - Phone
- (716) 895-6700
- NPI assigned
- Sep 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
463 William St
Buffalo, NY 14204-1811
Mailing address
463 William St
Buffalo, NY 14204-1811
Phone (716) 895-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Erie Mental Health Services Inc | Social Worker | Current | Accepting new patients |
Locations
463 William St
Buffalo, NY 14204
Phone (716) 852-0383
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1194374686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 WILLIAM ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142041811",
"telephone_number": "716-895-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 WILLIAM ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142041811",
"telephone_number": "716-895-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSTIRO",
"first_name": "MANAR",
"credential": "BA, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-06",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"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 Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.