NPIMap

Organization Active NPI

Medical Practitioner Services of Wny PC

  • Developmental Disabilities Clinic/Center
  • Buffalo, NY
National Provider Identifier
1376129015
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
MEDICAL PRACTITIONER SERVICES OF WNY PC
Practice address
800 Hertel Ave # 101
Buffalo, NY 14207-1906
Phone
(716) 566-5050
NPI assigned
Mar 23, 2021
Last updated
Jun 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Dr. Donald Michael Slate II, MDNPI 1003872854
Title
Owner
Phone
(716) 553-1343

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

800 Hertel Ave # 101
Buffalo, NY 14207-1906

Mailing address

1219 North Forest Road
C/O Medical Practitioner Services of Wny PC
Williamsville, NY 14221-3230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220119000028 NY Part B Supplier - Clinic/Group Practice 2668864968 Receives reassigned benefits from 28 practitioners
Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory

Locations

800 Hertel Ave
Buffalo, NY 14207
Phone (716) 566-5007

800 Hertel Ave
Ste 101
Buffalo, NY 14207
Phone (716) 566-5007

800 Hertel Ave
Ste 104
Buffalo, NY 14207

1860 Buffalo Rd
Rochester, NY 14624
Phone (585) 441-9300

Practitioners & affiliated clinicians

Practitioners 82

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.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1376129015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 NORTH FOREST ROAD",
            "address_2": "C/O MEDICAL PRACTITIONER SERVICES OF WNY PC",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HERTEL AVE # 101",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071906",
            "telephone_number": "716-566-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PRACTITIONER SERVICES OF WNY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "SLATE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-553-1343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.

Verify at the official NPI Registry.