NPIMap

Individual provider Active NPI

Vincent Mario Aquino, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Buffalo, NY
National Provider Identifier
1386179497
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
063786 Issued in NY
Practice address
3435 Main St.
119 Squire Hall
Buffalo, NY 14214
Phone
(716) 899-6637
NPI assigned
Apr 26, 2017
Last updated
Aug 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 39143 TX
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 063786 NY
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 063786 NY Primary

Addresses

Primary practice location

3435 Main St.
119 Squire Hall
Buffalo, NY 14214

Mailing address

6483 Transit Rd
East Amherst, NY 14051-1427
Phone (716) 983-6028

Other practice location 1

6483 Transit Rd
East Amherst, NY 14051-1427
Phone (716) 899-4005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731002557 NY Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 8325316144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
State Un of Ny, Buffalo School of Dental Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ub Oral and Maxillofacial Surgery, IncGroup PAC ID 4385813625, 3 clinicians

Practice addresses (Care Compare)

3435 Main St
Buffalo, NY 14214-3001
Phone (716) 829-6004

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39143TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health CurrentSince Sep 16, 2024 Accepting new patients
Ub Oral & Maxillofacial Surgery, Inc Oral and Maxillofacial Surgery CurrentSince Jul 23, 2024 Accepting new patients
Kaleida Health CurrentSince Sep 16, 2024 Accepting new patients

Locations

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1386179497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6483 TRANSIT RD",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511427",
            "telephone_number": "716-983-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 MAIN ST.",
            "address_2": "119 SQUIRE HALL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14214",
            "telephone_number": "716-899-6637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6483 Transit Rd",
            "address_purpose": "LOCATION",
            "city": "East Amherst",
            "state": "NY",
            "postal_code": "140511427",
            "country_code": "US",
            "telephone_number": "716-899-4005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "VINCENT",
        "middle_name": "MARIO",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "39143",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "063786",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "063786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.