Individual provider Active NPI

John Marion Budzinski, MD

  • Gynecology Physician
  • Cheektowaga, NY
National Provider Identifier
1326034927
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
0934991 Issued in NY
Practice address
85 Wehrle Dr
Ste 6
Cheektowaga, NY 14225-1061
Phone
(716) 834-9472
Fax
(716) 834-7061
NPI assigned
Sep 20, 2005
Last updated
Aug 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 0934991 NY Primary
Gynecology Physician 207VG0400X E3866 TX

Addresses

Primary practice location

85 Wehrle Dr
Ste 6
Cheektowaga, NY 14225-1061

Mailing address

85 Wehrle Dr
Ste 6
Cheektowaga, NY 14225-1061
Phone (716) 834-9472

Other identifiers 16

IdentifierTypeStateIssuer
0010022301OtherUNIVERA
040426000181OtherFIDELIS CARE NY
160958245OtherAETNA
162821103OtherMEDICARE RAILROAD
000502210001OtherBLUE CROSS BLUE SHIELD OF
0701030OtherMEDISOURCE
160958245OtherCIGNA
000502210003OtherBLUE CROSS BLUE SHIELD OF
0010022301OtherNORTH AMERICA UNIVERA SOU
0049605OtherGROUP HEALTH INS
00668364MedicaidNY
0701030OtherINDEPENDENT HEALTH
00010057102OtherRMSCO
0591100001OtherMEDICARE DME
0010022301OtherUNIVERA PPO
0701030OtherCOORDINATED BENEFITS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0934991NYMDGynecology Physician
E3866TXMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John M Budzinski, M.D. CurrentSince Jul 1, 1966 Accepting new patients

Locations

85 Wehrle Dr
Ste 6
Cheektowaga, NY 14225
Phone (716) 834-9472

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1326034927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 WEHRLE DR",
            "address_2": "STE 6",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251061",
            "telephone_number": "716-834-9472",
            "fax_number": "716-834-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 WEHRLE DR",
            "address_2": "STE 6",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251061",
            "telephone_number": "716-834-9472",
            "fax_number": "716-834-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDZINSKI",
        "first_name": "JOHN",
        "middle_name": "MARION",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "0934991",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "E3866",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "0010022301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE NY",
            "identifier": "040426000181",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "160958245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "162821103",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "000502210001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDISOURCE",
            "identifier": "0701030",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "160958245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "000502210003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH AMERICA UNIVERA SOU",
            "identifier": "0010022301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INS",
            "identifier": "0049605",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00668364",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "0701030",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RMSCO",
            "identifier": "00010057102",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0591100001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA PPO",
            "identifier": "0010022301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COORDINATED BENEFITS",
            "identifier": "0701030",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.