NPIMap

Organization Active NPI

Southtowns Internal Medicine PC

  • Internal Medicine Physician
  • Orchard Park, NY
National Provider Identifier
1356447270
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
177472 Issued in NY
Legal business name
SOUTHTOWNS INTERNAL MEDICINE PC
Practice address
3320 N Benzing Rd
Orchard Park, NY 14127-1538
Phone
(716) 825-0300
Fax
(716) 825-0303
NPI assigned
Sep 16, 2006
Last updated
Sep 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Mr. Gary R NelsonNPI 1245209634
Title
DO
Phone
(716) 825-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 177472 NY Primary

Addresses

Primary practice location

3320 N Benzing Rd
Orchard Park, NY 14127-1538

Mailing address

3320 North Benzing Road
Orchard Park, NY 14127-5138
Phone (716) 825-0300

National Provider Directory

National Provider Directory

Locations

3320 N Benzing Rd
Orchard Park, NY 14127
Phone (716) 667-2200

3775 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 362-3909

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1356447270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 NORTH BENZING ROAD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141275138",
            "telephone_number": "716-825-0300",
            "fax_number": "716-825-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N BENZING RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271538",
            "telephone_number": "716-825-0300",
            "fax_number": "716-825-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHTOWNS INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "716-825-0300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "177472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.