NPIMap

Organization Active NPI

Buttermilk Falls Pediatrics

  • Pediatrics Physician
  • Ithaca, NY
National Provider Identifier
1316036635
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BUTTERMILK FALLS PEDIATRICS
Practice address
22 Arrowood Dr Ste a
Ithaca, NY 14850-1870
Phone
(607) 272-6880
Fax
(607) 257-5538
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
Dr. Amit Shrivastava, MD
Title
Owner
Phone
(607) 272-6880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

22 Arrowood Dr Ste a
Ithaca, NY 14850-1870

Mailing address

22 Arrowood Dr Ste a
Ithaca, NY 14850-1870
Phone (607) 272-6880

National Provider Directory

National Provider Directory

Locations

22 Arrowood Dr
Ste A
Ithaca, NY 14850
Phone (607) 272-6880

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1316036635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ARROWOOD DR STE A",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501870",
            "telephone_number": "607-272-6880",
            "fax_number": "607-257-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ARROWOOD DR STE A",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501870",
            "telephone_number": "607-272-6880",
            "fax_number": "607-257-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTERMILK FALLS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "SHRIVASTAVA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-272-6880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.