Organization Active NPI

University at Buffalo Otolaryngology, Inc.

  • Otolaryngology Physician
  • Buffalo, NY
National Provider Identifier
1447320593
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC.
Practice address
1237 Delaware Ave
Buffalo, NY 14209-1435
Phone
(716) 689-1901
NPI assigned
Nov 8, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
David Sherris, MDNPI 1689646739
Title
Authorized Official
Phone
(716) 689-1901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000495 NY Part B Supplier - Clinic/Group Practice 5991692402 Receives reassigned benefits from 5 practitioners
Practice locations: Williamsville, NY; West Seneca, NY; Buffalo, NY

National Provider Directory

National Provider Directory

Locations

1237 Delaware Ave
Buffalo, NY 14209
Phone (716) 362-9585

118 Hodge Ave
Buffalo, NY 14222
Phone (716) 878-7368

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X NY Primary

Addresses

NPPES NPI Registry

Primary practice location

1237 Delaware Ave
Buffalo, NY 14209-1435

Mailing address

PO Box 8000
Dept. 086
Buffalo, NY 14267-0002
Phone (716) 689-1901

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447320593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000",
            "address_2": "DEPT. 086",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670002",
            "telephone_number": "716-689-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091435",
            "telephone_number": "716-689-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY AT BUFFALO OTOLARYNGOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERRIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "716-689-1901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": null,
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.