Active NPI
Alexandria Schultz, PAC
- Internal Medicine Physician
- Lackawanna, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 020078
- Practice address
- 2600 S Park Ave
Lackawanna, NY 14218-1504 - Phone
- (716) 822-2028
- Fax
- (716) 822-2029
- NPI assigned
- Sep 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 020078 | NY | Primary |
Addresses
Primary practice location
2600 S Park Ave
Lackawanna, NY 14218-1504
Mailing address
4979 Harlem Rd
Amherst, NY 14226-2547
Phone (716) 923-4381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020078 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ub Family Medicine, Inc | Current | Accepting new patients | |
| Trinity Medical Wny PC | Internal Medicine | Current | Accepting new patients |
| Trinity Medical Wny PC | Current | Accepting new patients |
Locations
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514
192 Park Club Ln
Ste 100
Williamsville, NY 14221
Phone (716) 667-7463
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Amherst, NY
- NPI 1841648011
-
- Hospitalist Physician
- Williamsville, NY
- NPI 1568883080
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1295043149
-
- Emergency Medicine Physician
- Buffalo, NY
- NPI 1972540482
-
- Internal Medicine Physician
- Amherst, NY
- NPI 1154421246
-
- Orthopaedic Surgery Physician
- Williamsville, NY
- NPI 1144878893
Internal Medicine
-
- Vascular Surgery Physician
- Buffalo, NY
- NPI 1205468055
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1942294467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1376091082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4979 HARLEM RD",
"city": "AMHERST",
"state": "NY",
"postal_code": "142262547",
"telephone_number": "716-923-4381",
"fax_number": "716-923-4384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 S PARK AVE",
"city": "LACKAWANNA",
"state": "NY",
"postal_code": "142181504",
"telephone_number": "716-822-2028",
"fax_number": "716-822-2029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "ALEXANDRIA",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "020078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lackawanna, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.