NPIMap

Organization Active NPI

Main Buffalo Pediatrics LLP

  • Legal Medicine
  • Buffalo, NY
National Provider Identifier
1194876300
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
169949-1 Issued in NY
Legal business name
MAIN BUFFALO PEDIATRICS LLP
Practice address
2924 Main St
Buffalo, NY 14214-1706
Phone
(716) 837-0995
Fax
(716) 837-1203
NPI assigned
Jan 15, 2007
Last updated
Feb 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Authorized official

Name
Dr. Emily S Friedan, MDNPI 1245206721
Title
Physician
Phone
(716) 837-0995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 169949-1 NY Primary

Addresses

Primary practice location

2924 Main St
Buffalo, NY 14214-1706

Mailing address

2924 Main St
Buffalo, NY 14214-1706
Phone (716) 837-0995

Other identifiers 4

IdentifierTypeStateIssuer
02772530MedicaidNY
01052620MedicaidNY
02288686MedicaidNY
02343800MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0717235Main Buffalo Pediatrics LLP2924 Main Street, Buffalo, NY 14214Certificate of waiverApr 1, 2028

National Provider Directory

National Provider Directory

Locations

2924 Main St
Buffalo, NY 14214
Phone (716) 837-0995

Practitioners & affiliated clinicians

Practitioners 10

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1194876300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141706",
            "telephone_number": "716-837-0995",
            "fax_number": "716-837-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141706",
            "telephone_number": "716-837-0995",
            "fax_number": "716-837-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN BUFFALO PEDIATRICS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "FRIEDAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "716-837-0995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "169949-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02772530",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01052620",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02288686",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02343800",
            "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 Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.