Organization Active NPI

Vivian L. Lindfield, MD, PC

  • Surgery Physician
  • Williamsville, NY
National Provider Identifier
1225280217
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
253905 Issued in NY
Legal business name
VIVIAN L. LINDFIELD, MD, PC
Practice address
180 Park Club Lane, Suite 100
Williamsville, NY 14221-5258
Phone
(716) 632-7465
Fax
(716) 632-7464
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Vivian L. Lindfield, M.D.NPI 1356320345
Title
Founder, Ceo
Phone
(716) 632-7465

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
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 253905 NY Primary

Addresses

Primary practice location

180 Park Club Lane, Suite 100
Williamsville, NY 14221-5258

Mailing address

180 Park Club Lane, Suite 100
Williamsville, NY 14221-5258
Phone (716) 632-7465

Other identifiers 1

IdentifierTypeStateIssuer
02504772MedicaidNY

Other names 1

  • Western New York Breast Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081218000051 NY Part B Supplier - Clinic/Group Practice 8729140272 Receives reassigned benefits from 3 practitioners
Practice locations: Williamsville, NY

National Provider Directory

National Provider Directory

Locations

5844 Southwestern Blvd
Ste 100
Hamburg, NY 14075

180 Park Club Ln
Ste 100
Williamsville, NY 14221
Phone (716) 632-7465

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1225280217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PARK CLUB LANE, SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215258",
            "telephone_number": "716-632-7465",
            "fax_number": "716-632-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PARK CLUB LANE, SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215258",
            "telephone_number": "716-632-7465",
            "fax_number": "716-632-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIAN L. LINDFIELD, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "LINDFIELD",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "FOUNDER, CEO",
        "authorized_official_telephone_number": "716-632-7465",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "253905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02504772",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western New York Breast Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western New York Breast Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.