Organization Active NPI

Tiffany B. Genewick, M.D., P.C.

  • Obstetrics & Gynecology Physician
  • Depew, NY
National Provider Identifier
1285813840
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
206982 Issued in NY
Legal business name
TIFFANY B. GENEWICK, M.D., P.C.
Practice address
4731 Transit Rd
Suite 1
Depew, NY 14043-4884
Phone
(716) 668-1902
Fax
(716) 668-1919
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Tiffany Boquard Genick, M.D.
Title
Owner
Phone
(716) 668-1902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 206982 NY Primary

Addresses

Primary practice location

4731 Transit Rd
Suite 1
Depew, NY 14043-4884

Mailing address

4731 Transit Rd
Suite 1
Depew, NY 14043-4884
Phone (716) 668-1902

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050308000686 NY Part B Supplier - Clinic/Group Practice 6103870696 Receives reassigned benefits from 1 practitioner
Practice locations: Elma, NY

National Provider Directory

National Provider Directory

Locations

4731 Transit Rd
Ste 1
Depew, NY 14043
Phone (716) 668-1902

2701 Transit Rd
Ste 131
Elma, NY 14059
Phone (716) 668-1902

2741 Transit Rd
Elma, NY 14059
Phone (716) 668-1902

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": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1285813840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 TRANSIT RD",
            "address_2": "SUITE 1",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434884",
            "telephone_number": "716-668-1902",
            "fax_number": "716-668-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 TRANSIT RD",
            "address_2": "SUITE 1",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434884",
            "telephone_number": "716-668-1902",
            "fax_number": "716-668-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY B. GENEWICK, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "GENICK",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "BOQUARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-668-1902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "206982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.