Active NPI
Gary Albert Vonhasseln
- Licensed Practical Nurse
- Buffalo, NY
National Provider Identifier
1376862060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 180102-1
- Practice address
- 360 Delaware Ave
Suite 310
Buffalo, NY 14202 - Phone
- (716) 852-5900
- Fax
- (716) 852-5913
- NPI assigned
- May 20, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 180102-1 | NY | Primary |
Addresses
Primary practice location
360 Delaware Ave
Suite 310
Buffalo, NY 14202
Mailing address
360 Delaware Ave
Buffalo, NY 14202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180102-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274313600000",
"number": "1376862060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 DELAWARE AVE",
"address_2": "SUITE 310",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14202",
"telephone_number": "716-852-5900",
"fax_number": "716-852-5913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONHASSELN",
"first_name": "GARY",
"middle_name": "ALBERT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-20",
"last_updated": "2010-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "180102-1",
"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 May 20, 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.