Active NPI
Southtowns Neurology of Western New York PC
- Specialist
- West Seneca, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 206950
- Legal business name
- SOUTHTOWNS NEUROLOGY OF WESTERN NEW YORK PC
- Practice address
- 3775 Seneca St
West Seneca, NY 14224-3434 - Phone
- (716) 712-0890
- Fax
- (716) 712-0933
- NPI assigned
- Jun 25, 2007
- 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
- Dr. Peterkin Leekwen, M.D.
- Title
- Ceo
- Phone
- (716) 712-0890
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 206950 | NY | Primary |
Addresses
Primary practice location
3775 Seneca St
West Seneca, NY 14224-3434
Mailing address
3775 Seneca St
West Seneca, NY 14224-3434
Phone (716) 712-0890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02731060 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
849 Route 5 and 20
#5
Irving, NY 14081
Phone (716) 646-0970
12655 Seneca Rd
Irving, NY 14081
Phone (716) 517-5069
327 Central Ave
Silver Creek, NY 14136
Phone (716) 712-0890
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- West Seneca, NY
- NPI 1811966880
-
- Neurology Physician
- West Seneca, NY
- NPI 1568201309
-
- Physician Assistant
- West Seneca, NY
- NPI 1780125898
-
- Neurology Physician
- Amherst, NY
- NPI 1316155500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444694400000",
"number": "1346446614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3775 SENECA ST",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243434",
"telephone_number": "716-712-0890",
"fax_number": "716-712-0933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3775 SENECA ST",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243434",
"telephone_number": "716-712-0890",
"fax_number": "716-712-0933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHTOWNS NEUROLOGY OF WESTERN NEW YORK PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-25",
"last_updated": "2015-10-13",
"status": "A",
"authorized_official_last_name": "LEEKWEN",
"authorized_official_first_name": "PETERKIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "716-712-0890",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "206950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02731060",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.