Organization Active NPI

Erie County Medical Center Corporation

  • Skilled Nursing Facility
  • Buffalo, NY
National Provider Identifier
1306052113
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1401005N Issued in NY
Legal business name
ERIE COUNTY MEDICAL CENTER CORPORATION
Practice address
462 Grider St
Buffalo, NY 14215-3021
Phone
(716) 898-5931
Fax
(716) 898-5178
NPI assigned
May 16, 2007
Organization subpart
Yes
Parent organization
ERIE COUNTY MEDICAL CENTER CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Sue J McCarthy
Title
Chief Financial Officer
Phone
(716) 898-5931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1401005N NY Primary

Addresses

Primary practice location

462 Grider St
Buffalo, NY 14215-3021

Mailing address

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-5931

Other identifiers 5

IdentifierTypeStateIssuer
T6OtherNYIHA SNF SUB ACUTE
00708205MedicaidNY
11412205OtherNYUNIVERA
000000319001OtherNYBC SNF SUBACUTE 4/08
000000364000OtherNYBLUE CROSS SNF SUBACUTE

Other names 1

  • Skilled Nursing - Sub Acute Unit Other name

National Provider Directory

National Provider Directory
Tax ID family
Erie County Medical Center Corporation9 organizations share this tax ID, including this one
Part of
Erie County Medical Center Corporation

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1306052113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-5931",
            "fax_number": "716-898-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-5931",
            "fax_number": "716-898-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE COUNTY MEDICAL CENTER CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ERIE COUNTY MEDICAL CENTER CORPORATION",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "716-898-5931"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1401005N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA SNF SUB ACUTE",
            "identifier": "T6",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00708205",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "11412205",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC SNF SUBACUTE 4/08",
            "identifier": "000000319001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SNF SUBACUTE",
            "identifier": "000000364000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skilled Nursing - Sub Acute Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 22, 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.