Organization Active NPI

Gregory D. Sambuchi MD

  • Neurology Physician
  • Niagara Falls, NY
National Provider Identifier
1336474675
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
197485 Issued in NY
Legal business name
GREGORY D. SAMBUCHI MD
Practice address
4600 Military Road
Suite B
Niagara Falls, NY 14305
Phone
(716) 297-8709
Fax
(716) 297-8719
NPI assigned
Oct 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Authorized official

Name
Dr. Gregory D Sambuchi, MD
Title
MD
Phone
(716) 297-8709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 197485 NY Primary

Addresses

Primary practice location

4600 Military Road
Suite B
Niagara Falls, NY 14305

Mailing address

4600 Military Road
Suite B
Niagara Falls, NY 14305
Phone (716) 297-8709

Other identifiers 1

IdentifierTypeStateIssuer
1942203112MedicaidNY

National Provider Directory

National Provider Directory

Locations

4600 Military Rd
Ste B
Niagara Falls, NY 14305
Phone (716) 297-8709

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1336474675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MILITARY ROAD",
            "address_2": "SUITE B",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14305",
            "telephone_number": "716-297-8709",
            "fax_number": "716-297-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILITARY ROAD",
            "address_2": "SUITE B",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14305",
            "telephone_number": "716-297-8709",
            "fax_number": "716-297-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY D. SAMBUCHI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "SAMBUCHI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "716-297-8709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "197485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942203112",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.