Primary Care of Western New York LLP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMARY CARE OF WESTERN NEW YORK LLP

Practice address

30 N Union Rd
Williamsville, NY 14221-5367

Phone

(716) 839-8000

Fax

(716) 839-8009

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Cary F Vastola, D.O.NPI 1619901170

Title

Managing Partner

Phone

(716) 839-8000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 53

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.

• Rachelle Booth, D.O.

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1538522008
  Medicare reassignment Care Compare group NPD
• Sukhdeep Cheema, PA

  • Physician Assistant
  • Buffalo, NY
  • NPI 1215823414
  Medicare reassignment Care Compare group NPD
• R Keith Felstead, D.O.

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1487673281
  Medicare reassignment Care Compare group NPD
• Cara Fininzio, D.O.

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1992948475
  Medicare reassignment Care Compare group NPD
• Derek Anthony Gallucci, D.O.

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1346508991
  Medicare reassignment Care Compare group NPD
• Jason Goldstein

  • Internal Medicine Physician
  • Troy, NY
  • NPI 1598185522
  Medicare reassignment Care Compare group NPD
• Andrew J. Harbison, D.O.

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1114941267
  Medicare reassignment Care Compare group NPD
• Matthew Robert Jones, DO

  • Student in an Organized Health Care Education/Training Program
  • Buffalo, NY
  • NPI 1427634880

  Single Specialty

  Medicare reassignment Care Compare group NPD
• David Khatib, DO

  • Family Medicine Physician
  • Kenmore, NY
  • NPI 1851850614
  Medicare reassignment Care Compare group NPD
• Ashley Danielle Kremer

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1548569031
  Medicare reassignment Care Compare group NPD
• Darla M Lane, D.O.

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1225057037
  Medicare reassignment Care Compare group NPD
• Briana Niland, DO

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1033554621
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1205845971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N UNION RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215367",
            "telephone_number": "716-839-8000",
            "fax_number": "716-839-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N UNION RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215367",
            "telephone_number": "716-839-8000",
            "fax_number": "716-839-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE OF WESTERN NEW YORK LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "VASTOLA",
        "authorized_official_first_name": "CARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "716-839-8000",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prescribed Motion PT Fitness, PLLC
• Latosha Preston, LPN
• Miranda Price
• NA'Chelle Price, LPN
• Pricks Acupuncture P.L.L.C.
• Carla Primeau
• Sharon Prior
• Prism Health & Fitness
• Pro2 LLC
• Pro2 LLC

• Family Medicine Physician in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.