Ella Perry Medical PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

210359 Issued in NY

Legal business name

ELLA PERRY MEDICAL PC

Practice address

191 North St
Suite 7
Buffalo, NY 14201-1510

Phone

(716) 882-1200

Fax

(716) 882-1220

NPI assigned

Mar 15, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jesslyn L Perry, MDNPI 1205860186

Title

Sole Proprieter

Phone

(716) 882-1200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesslyn Perry, M.D.

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1205860186
  Authorized official Same address or phone

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1346564739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 NORTH ST",
            "address_2": "SUITE 7",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011510",
            "telephone_number": "716-882-1200",
            "fax_number": "716-882-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 NORTH ST",
            "address_2": "SUITE 7",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011510",
            "telephone_number": "716-882-1200",
            "fax_number": "716-882-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLA PERRY MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JESSLYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "716-882-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "210359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP/ORGANIZATIONAL NPI",
            "identifier": "1346564739",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Pierce Olmsted, MD Center for the Visually Impaired
• Shahim Ahmad Elja, DO
• Lauren Elkada, DDS
• Catherine Elkhoury
• Rebecca Elkin, LCAT, RDT, MA
• Louise Davida Ellerbee, LPN
• Karen Romaina Ellington I
• Barbara Elliott
• Frederick Michael Elliott, MD
• Trinity Elliott

• Primary Care Clinic/Center in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.