Organization Active NPI

Epilepsy Association of Wny Inc

  • Voluntary or Charitable Agency
  • Buffalo, NY
National Provider Identifier
1255498275
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
EPILEPSY ASSOCIATION OF WNY INC
Practice address
339 Elmwood Ave
Buffalo, NY 14222
Phone
(716) 883-5396
Fax
(716) 883-5403
NPI assigned
Jan 2, 2007
Last updated
Apr 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Authorized official

Name
Barbara J Brossard
Title
Executive Director
Phone
(716) 883-5396

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 01998498 NY
Voluntary or Charitable Agency 251V00000X 11371A NY
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

339 Elmwood Ave
Buffalo, NY 14222

Mailing address

339 Elmwood Ave
Buffalo, NY 14222
Phone (716) 883-5396

Other identifiers 1

IdentifierTypeStateIssuer
01998498MedicaidNY

National Provider Directory

National Provider Directory

Locations

339 Elmwood Ave
Buffalo, NY 14222
Phone (716) 883-5396

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1255498275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14222",
            "telephone_number": "716-883-5396",
            "fax_number": "716-883-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14222",
            "telephone_number": "716-883-5396",
            "fax_number": "716-883-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPILEPSY ASSOCIATION OF WNY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "BROSSARD",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-883-5396"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "01998498",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": "11371A",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01998498",
            "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 Apr 24, 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.