Organization Active NPI

Roswell Park Cancer Institute

  • Special Hospital
  • Buffalo, NY
National Provider Identifier
1316292014
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
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

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Thanyanan Reungwetwattana, M.D.NPI 1730423807
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.