NPIMap

Organization Active NPI

Michael D. Terranova & Mark D. Bezbatchenko PTR

Doing business as Lancaster-Depew Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Bowmansville, NY
National Provider Identifier
1417036708
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
MICHAEL D. TERRANOVA & MARK D. BEZBATCHENKO PTR
Doing business as
Lancaster-Depew Pediatrics
Practice address
5330 Genesee St
Bowmansville, NY 14026-1035
Phone
(716) 684-6140
NPI assigned
Nov 6, 2006
Last updated
Mar 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Mrs. Suzanne Willard
Title
Office Manager
Phone
(716) 684-6140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X Primary

Addresses

Primary practice location

5330 Genesee St
Bowmansville, NY 14026-1035

Mailing address

5330 Genesee St
Bowmansville, NY 14026-1035
Phone (716) 684-6140

Other names 1

  • Lancaster-Depew Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0675072Lancaster-Depew Pediatrics5330 Genesee Street, Bowmansville, NY 14026Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory

Locations

5330 Genesee St
Bowmansville, NY 14026
Phone (716) 300-8323

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1417036708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 GENESEE ST",
            "city": "BOWMANSVILLE",
            "state": "NY",
            "postal_code": "140261035",
            "telephone_number": "716-684-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 GENESEE ST",
            "city": "BOWMANSVILLE",
            "state": "NY",
            "postal_code": "140261035",
            "telephone_number": "716-684-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. TERRANOVA & MARK D. BEZBATCHENKO PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "WILLARD",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-684-6140",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lancaster-Depew Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowmansville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.