NPIMap

Organization Active NPI

Cardiology Group of Western New York PC

  • Cardiovascular Disease Physician
  • Williamsville, NY
National Provider Identifier
1194771477
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
104448 Issued in NY
Legal business name
CARDIOLOGY GROUP OF WESTERN NEW YORK PC
Practice address
825 Wehrle Dr
Williamsville, NY 14221-7717
Phone
(716) 634-3243
Fax
(716) 634-1930
NPI assigned
May 26, 2006
Last updated
May 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Mrs. Marilyn Schulz
Title
Medical Biller/CMC
Phone
(716) 634-3502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 104448 NY Primary

Addresses

Primary practice location

825 Wehrle Dr
Williamsville, NY 14221-7717

Mailing address

825 Wehrle Drive
Williamsville, NY 14221
Phone (716) 634-3502

Other identifiers 1

IdentifierTypeStateIssuer
01456019MedicaidNY

National Provider Directory

National Provider Directory

Locations

7060 Erie Rd
Derby, NY 14047
Phone (716) 677-2273

401 N 8th St
Ste 100
Olean, NY 14760

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1194771477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WEHRLE DRIVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-634-3502",
            "fax_number": "716-634-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WEHRLE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217717",
            "telephone_number": "716-634-3243",
            "fax_number": "716-634-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY GROUP OF WESTERN NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "MEDICAL BILLER/CMC",
        "authorized_official_telephone_number": "716-634-3502",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "104448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01456019",
            "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 May 4, 2009; 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.