Active NPI
Thomas C Rosenthal, MD
- Family Medicine Physician
- Buffalo, NY
National Provider Identifier
1447243720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 127683
- Practice address
- 1315 Jefferson Ave
Buffalo, NY 14208-2102 - Phone
- (716) 332-3797
- Fax
- (716) 332-4247
- NPI assigned
- Aug 23, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 127683 | NY | Primary |
Addresses
Primary practice location
1315 Jefferson Ave
Buffalo, NY 14208-2102
Mailing address
1315 Jefferson Ave
Buffalo, NY 14208-2102
Phone (716) 332-3797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00470104 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ub Family Medicine, Inc | Family Medicine | Current | Accepting new patients |
| University Emergency Medical Services Inc. | Current | Accepting new patients |
Locations
100 High St
#13282
Buffalo, NY 14203
1315 Jefferson Ave
Buffalo, NY 14208
Phone (716) 332-3797
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1942294467
-
- Emergency Medicine Physician
- Buffalo, NY
- NPI 1972540482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328140800000",
"number": "1447243720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 JEFFERSON AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142082102",
"telephone_number": "716-332-3797",
"fax_number": "716-332-4247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 JEFFERSON AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142082102",
"telephone_number": "716-332-3797",
"fax_number": "716-332-4247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "THOMAS",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2012-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "127683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00470104",
"state": "NY"
}
],
"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 Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.