Individual provider Active NPI

Peter John Todoro, PA

  • Physician Assistant
  • Williamsville, NY
National Provider Identifier
1427683028
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
02484601 Issued in NY
Practice address
19 Limestone Dr.
Suite 11
Williamsville, NY 14221-4212
Phone
(716) 634-3500
Fax
(716) 634-3525
NPI assigned
Mar 4, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Axis Neurosurgery and Spine of Wny PLLC 4 clinicians
Erie County Medical Center Corporation 316 clinicians

Practice addresses (Care Compare)

12 Ctr St
Fredonia, NY 14063-1769
Phone (716) 634-3500

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000

Hospital & facility affiliations

  • Erie County Medical Center Hospital, Buffalo, NY, CCN 330219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20200414002233 NY Practitioner - Physician Assistant 7719317882 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
02484601NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Erie County Medical Center Corporation CurrentSince Nov 26, 2025 Accepting new patients
Erie County Medical Center Corporation Past Accepting new patients

Locations

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

30 N Union Rd
Ste 104
Williamsville, NY 14221
Phone (716) 308-7944

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 02484601 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

19 Limestone Dr.
Suite 11
Williamsville, NY 14221-4212

Mailing address

19 Limestone Dr.
Suite 11
Williamsville, NY 14221-4212
Phone (716) 634-3500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 28, 2021.

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1427683028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LIMESTONE DR.",
            "address_2": "SUITE 11",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214212",
            "telephone_number": "716-634-3500",
            "fax_number": "716-634-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LIMESTONE DR.",
            "address_2": "SUITE 11",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214212",
            "telephone_number": "716-634-3500",
            "fax_number": "716-634-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODORO",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "02484601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.