Organization Active NPI

Soosaipillai G Jeyapalan MD KPC

  • Primary Care Clinic/Center
  • Buffalo, NY
National Provider Identifier
1467624114
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
128590 Issued in NY
Legal business name
SOOSAIPILLAI G JEYAPALAN MD KPC
Practice address
550 N Legion Dr
Buffalo, NY 14210-2452
Phone
(716) 823-3448
Fax
(716) 826-0800
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Soosaipillai G Jeyapalan, M.D.
Title
Owner Physician
Phone
(716) 823-3448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 128590 NY Primary

Addresses

Primary practice location

550 N Legion Dr
Buffalo, NY 14210-2452

Mailing address

550 N Legion Dr
Buffalo, NY 14210-2452
Phone (716) 823-3448

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1467624114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N LEGION DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142102452",
            "telephone_number": "716-823-3448",
            "fax_number": "716-826-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N LEGION DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142102452",
            "telephone_number": "716-823-3448",
            "fax_number": "716-826-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOOSAIPILLAI G JEYAPALAN MD KPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "JEYAPALAN",
        "authorized_official_first_name": "SOOSAIPILLAI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "716-823-3448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "128590",
            "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 Apr 1, 2008; 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.