716 Orthopaedics and Spine Surgery PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

716 ORTHOPAEDICS AND SPINE SURGERY PLLC

Practice address

2914 Elmwood Ave
Kenmore, NY 14217-1332

Phone

(716) 447-6310

Fax

(716) 775-6288

NPI assigned

Dec 17, 2020

Last updated

Dec 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roger Warren Rogers, DONPI 1417112947

Title

Owner

Phone

(716) 447-6310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

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.

• Roger Warren Rogers, D.O.

  • Orthopaedic Surgery Physician
  • Erie, PA
  • NPI 1417112947

  NY

  Medicare reassignment Care Compare group NPD Authorized official
• Amy Albert, RPAC

  • Physician Assistant
  • Buffalo, NY
  • NPI 1497705016
  Medicare reassignment Care Compare group
• Craig Michael Roberto, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lockport, NY
  • NPI 1760655203
  Medicare reassignment NPD

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1376139972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 UNION RD STE 218",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254251",
            "telephone_number": "716-206-1568",
            "fax_number": "716-651-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171332",
            "telephone_number": "716-447-6310",
            "fax_number": "716-775-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "716 ORTHOPAEDICS AND SPINE SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-447-6310",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumeye Ateni Abdulkadir, OTR/L
• Thomas Robrt Ackerman, PT
• Jessica Lenore Ackley
• Active Life Therapies LLC
• Hanaw Assad Adham, M.D.

• Orthopaedic Surgery Physician in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.