NPIMap

Organization Active NPI

Buffalo Medical Group, PC

  • Non-Pharmacy Dispensing Site
  • Lockport, NY
National Provider Identifier
1467095802
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
BUFFALO MEDICAL GROUP, PC
Practice address
16 Davison CT
Lockport, NY 14094-5370
Phone
(716) 630-1000
NPI assigned
Oct 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Authorized official

Name
Daniel Scully
Title
Ceo
Phone
(716) 630-1000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

16 Davison CT
Lockport, NY 14094-5370

Mailing address

425 Essjay Rd Ste 170
Williamsville, NY 14221-8235
Phone (716) 630-1000

National Provider Directory

National Provider Directory
Tax ID family
Buffalo Medical Group PC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1467095802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ESSJAY RD STE 170",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218235",
            "telephone_number": "716-630-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DAVISON CT",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945370",
            "telephone_number": "716-630-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "SCULLY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-630-1000"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.