Active NPI
Children's E.N.T., P.C.
- Otolaryngology Physician
- Williamsville, NY
National Provider Identifier
1275727828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 168257
- Legal business name
- CHILDREN'S E.N.T., P.C.
- Practice address
- 8207 Main Street Ste 5
Williamsville, NY 14221 - Phone
- (716) 362-9730
- Fax
- (716) 213-0348
- NPI assigned
- Aug 28, 2007
- Last updated
- Aug 25, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Paul Pizzuto, MD
- Title
- Owner
- Phone
- (716) 632-2000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 168257 | NY | Primary |
| Pediatric Otolaryngology Physician | 207YP0228X | 168257 | NY |
Addresses
Primary practice location
8207 Main Street Ste 5
Williamsville, NY 14221
Mailing address
908 Niagara Falls Blvd
Ste 208
N Tonawanda, NY 14120-2019
Phone (716) 692-2160
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003690 | Other | NY | IHA |
| 000511120011 | Other | NY | BLUE CROSS |
| 01247209 | Medicaid | NY | |
| 00010139101 | Other | NY | UNIVERA |
Other names 1
- MICHAEL P. PIZZUTO, MD, PC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Physician Assistant
- Williamsville, NY
- NPI 1174817183
-
- Pediatric Otolaryngology Physician
- Buffalo, NY
- NPI 1427054824
-
- Physician Assistant
- Boston, MA
- NPI 1346297256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251158400000",
"number": "1275727828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 NIAGARA FALLS BLVD",
"address_2": "STE 208",
"city": "N TONAWANDA",
"state": "NY",
"postal_code": "141202019",
"telephone_number": "716-692-2160",
"fax_number": "716-332-3658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8207 MAIN STREET STE 5",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "14221",
"telephone_number": "716-362-9730",
"fax_number": "716-213-0348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S E.N.T., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-28",
"last_updated": "2009-08-25",
"status": "A",
"authorized_official_last_name": "PIZZUTO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-632-2000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "168257",
"primary": true
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "NY",
"license": "168257",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "1003690",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000511120011",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01247209",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010139101",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MICHAEL P. PIZZUTO, MD, PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.