NPIMap

Organization Active NPI

University at Buffalo Neurosurgery, Inc.

  • Neurological Surgery Physician
  • Williamsville, NY
National Provider Identifier
1306896220
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
UNIVERSITY AT BUFFALO NEUROSURGERY, INC.
Practice address
40 George Karl Blvd
Williamsville, NY 14221-7183
Phone
(716) 218-1000
NPI assigned
May 11, 2006
Last updated
Mar 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Michael Cournyea, CEO
Title
Ceo
Phone
(716) 218-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NY Primary

Addresses

Primary practice location

40 George Karl Blvd
Williamsville, NY 14221-7183

Mailing address

PO Box 8000 Department 883
Buffalo, NY 14267-0001
Phone (716) 218-1000

Other identifiers 1

IdentifierTypeStateIssuer
02301348MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031125000264 NY Part B Supplier - Clinic/Group Practice 0143124719 Receives reassigned benefits from 101 practitioners
Practice locations: Orchard Park, NY; Niagara Falls, NY; Buffalo, NY; Amherst, NY

National Provider Directory

National Provider Directory

Locations

100 High St
Fl 4
Buffalo, NY 14203

3980A Sheridan Dr
Buffalo, NY 14226
Phone (716) 309-4772

6930 Williams Rd
Ste 3800
Niagara Falls, NY 14304
Phone 71621810007166

5959 Big Tree Rd
Ste 103
Orchard Park, NY 14127

Practitioners & affiliated clinicians

Practitioners 108

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.

View all 108

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1306896220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000 DEPARTMENT 883",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670001",
            "telephone_number": "716-218-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GEORGE KARL BLVD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217183",
            "telephone_number": "716-218-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY AT BUFFALO NEUROSURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "COURNYEA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-218-1000",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02301348",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 31, 2025; 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.