Hamburg Pediatrics, P.C.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

171487 Issued in NY

Legal business name

HAMBURG PEDIATRICS, P.C.

Practice address

4390 Quinby Dr Ste E
Hamburg, NY 14075-7900

Phone

(716) 312-7400

Fax

(716) 312-7402

NPI assigned

May 7, 2007

Last updated

Sep 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John J Krzan Jr., MDNPI 1821035593

Title

President

Phone

(716) 312-7400

Specialties & licenses 1

Addresses

Other identifiers 5

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Krzan, MD

  • Pediatrics Physician
  • Hamburg, NY
  • NPI 1821035593
  NPD (past) Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1487867727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 QUINBY DR STE E",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140757900",
            "telephone_number": "716-312-7400",
            "fax_number": "716-312-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 QUINBY DR STE E",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140757900",
            "telephone_number": "716-312-7400",
            "fax_number": "716-312-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMBURG PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "KRZAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-312-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "171487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "061226000052",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010096202",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000527622002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "1202710",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01136070",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hamburg Counseling Service
• Hamburg Counseling Service, Inc.
• Hamburg High School
• Hamburg Nurse Practitioners in Adult & Family Health Care PLLC (Hamburg Primary Care)
• Hamburg Optical
• Hamburg Pharmacy Inc (Hamburg Pharmacy)
• Hamburg Physical Therapy, P.C.
• Hamburg Volunteer Fire Dept Inc
• Juliana Ferro Hamm
• Lisa Hanavan, ED.D, RSA, RPA

• Pediatric Adolescent Medicine Physician in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.