Buffalo Suburban I.D., Inc.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

164017 Issued in NY

Legal business name

BUFFALO SUBURBAN I.D., INC.

Practice address

2914 Elmwood Ave
Suite 2
Kenmore, NY 14217-1332

Phone

(716) 447-6903

NPI assigned

Oct 9, 2007

Last updated

Feb 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kedarnath Javaly, M.D.NPI 1376501023

Title

Owner

Phone

(716) 447-6903

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

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.

• Kedarnath Javaly, M.D.

  • Infectious Disease Physician
  • Kenmore, NY
  • NPI 1376501023
  NPD (past) Authorized official

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1235327834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MAIN STREET",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754904",
            "telephone_number": "716-649-0887",
            "fax_number": "716-646-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 ELMWOOD AVE",
            "address_2": "SUITE 2",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171332",
            "telephone_number": "716-447-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO SUBURBAN I.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "JAVALY",
        "authorized_official_first_name": "KEDARNATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-447-6903",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "164017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000528147003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00027194102",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "3412917",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG5745",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip F Brunner
• Buffalo Dietetics PLLC
• Buffalo Internal Medicine, PLLC
• Buffalo Niagara Hospitalist LLC
• Buffalo Shore Medical PLLC
• Buffalo-Niagara Hospitalists LLC
• Chanthala Burger, OSC
• Kathleen Mary Burke
• Scott Burke, DDS
• Caitlin Burns

• Infectious Disease Physician in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.