Active NPI
Roswell Park Cancer Institute
- Special Hospital
- Buffalo, NY
National Provider Identifier
1316292014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- Legal business name
- ROSWELL PARK CANCER INSTITUTE
- Practice address
- Roswell Park Cancer Institute
Elm & Carlton Street
Buffalo, NY 14263-0001 - Phone
- (716) 845-4101
- Fax
- (716) 845-3423
- NPI assigned
- Jul 18, 2012
- 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
- Thanyanan Reungwetwattana, M.D.
- Title
- Fellow
- Phone
- (507) 319-1774
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Special Hospital | 284300000X | NY | Primary |
Addresses
Primary practice location
Roswell Park Cancer Institute
Elm & Carlton Street
Buffalo, NY 14263-0001
Mailing address
275B Evans St
Apt # 6
Williamsville, NY 14221-5666
Phone (507) 319-1774
National Provider Directory
National Provider DirectoryLocations
Roswell Park Cancer Institute
Buffalo, NY 14263
Phone (716) 845-4101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Buffalo, NY
- NPI 1730423807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342569600000",
"number": "1316292014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275B EVANS ST",
"address_2": "APT # 6",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215666",
"telephone_number": "507-319-1774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROSWELL PARK CANCER INSTITUTE",
"address_2": "ELM & CARLTON STREET",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142630001",
"telephone_number": "716-845-4101",
"fax_number": "716-845-3423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSWELL PARK CANCER INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-18",
"last_updated": "2012-07-18",
"status": "A",
"authorized_official_last_name": "REUNGWETWATTANA",
"authorized_official_first_name": "THANYANAN",
"authorized_official_title_or_position": "FELLOW",
"authorized_official_telephone_number": "507-319-1774",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "284300000X",
"taxonomy_group": "",
"desc": "Special Hospital",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.