Active NPI
Physician Assistants of Western New York
- State or Local Public Health Clinic/Center
- West Seneca, NY
National Provider Identifier
1295873420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- License
- 005914
- Legal business name
- PHYSICIAN ASSISTANTS OF WESTERN NEW YORK
- Practice address
- 327 Borden Ave
West Seneca, NY 14222 - Phone
- (716) 668-6343
- NPI assigned
- Feb 1, 2007
- 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
- Mr. Todd Roland, PHYSICIAN ASSISTANT
- Title
- Physician Assistant
- Phone
- (716) 668-6343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| State or Local Public Health Clinic/Center | 261QP0905X | 005914 | NY | Primary |
Addresses
Primary practice location
327 Borden Ave
West Seneca, NY 14222
Mailing address
657 Auburn Ave
Buffalo, NY 14222-1414
Phone (716) 884-3937
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- West Seneca, NY
- NPI 1578788030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295873420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "657 AUBURN AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142221414",
"telephone_number": "716-884-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 BORDEN AVE",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "14222",
"telephone_number": "716-668-6343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN ASSISTANTS OF WESTERN NEW YORK",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROLAND",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "716-668-6343",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHYSICIAN ASSISTANT"
},
"taxonomies": [
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": "NY",
"license": "005914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.