Department of Veterans Affairs

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

436540-1 Issued in NY

Legal business name

DEPARTMENT OF VETERANS AFFAIRS

Practice address

97 Norwood Ave
Buffalo, NY 14222-2103

Phone

(716) 884-7307

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Maryellen Carlucci

Title

Registerd Nurse

Phone

(716) 884-7307

Specialties & licenses 1

Addresses

Other names 1

• VA Western NY Healthcare System Former legal business name

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306050026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 NORWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222103",
            "telephone_number": "716-884-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 NORWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222103",
            "telephone_number": "716-884-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLUCCI",
        "authorized_official_first_name": "MARYELLEN",
        "authorized_official_title_or_position": "REGISTERD NURSE",
        "authorized_official_telephone_number": "716-884-7307",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "436540-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VA Western NY Healthcare System",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dent Neurologic Group, LLP (Wehrle Drive)
• Dental Services of Western New York, PLLC
• Dentist on Seneca PLLC
• Joanne R Denz, PNP
• Mary Katherine Depalma, MS SLP
• Jennifer Catherine Depasquale, MS-SLP-CCC
• Frances L Deplato, D.D.S.
• Trevor Deraney, PA-C
• Jule Deren, D.O.
• Reem Dergham

• General Acute Care Hospital in Buffalo, NY
• Providers in Buffalo, NY by specialty
• General Acute Care Hospital in New York

• 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.

Verify at the official NPI Registry.