Organization Active NPI

Preston Medical, P.C.

  • Family Medicine Physician
  • Buffalo, NY
National Provider Identifier
1417157793
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
225100 Issued in NY
Legal business name
PRESTON MEDICAL, P.C.
Practice address
2162 Main St
Buffalo, NY 14214-2634
Phone
(716) 204-1180
Fax
(716) 834-5507
NPI assigned
Jul 24, 2007
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Adebukola Abiola, M.D.
Title
Ceo
Phone
(716) 204-1180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 225100 NY Primary

Addresses

Primary practice location

2162 Main St
Buffalo, NY 14214-2634

Mailing address

267 Londonderry LN
Getzville, NY 14068-1182
Phone (716) 204-1180

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1417157793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 LONDONDERRY LN",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681182",
            "telephone_number": "716-204-1180",
            "fax_number": "716-834-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142634",
            "telephone_number": "716-204-1180",
            "fax_number": "716-834-5507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "ABIOLA",
        "authorized_official_first_name": "ADEBUKOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-204-1180",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "225100",
            "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 Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.