NPIMap

Organization Active NPI

Western New York Ear, Nose & Throat, P.C.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Orchard Park, NY
National Provider Identifier
1487877817
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
156731 Issued in NY
Legal business name
WESTERN NEW YORK EAR, NOSE & THROAT, P.C.
Practice address
3670 South Benzing
Suite C
Orchard Park, NY 14127
Phone
(716) 675-5711
Fax
(716) 675-1358
NPI assigned
Apr 11, 2007
Last updated
Sep 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Dr. Natalka Daria Stachiw, M.D.NPI 1619058989
Title
Owner
Phone
(716) 675-5711

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X 156731 NY Primary

Addresses

Primary practice location

3670 South Benzing
Suite C
Orchard Park, NY 14127

Mailing address

3670 South Benzing
Suite C
Orchard Park, NY 14127
Phone (716) 675-5711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050411001028 NY Part B Supplier - Clinic/Group Practice 5193762235 Receives reassigned benefits from 13 practitioners
Practice locations: Orchard Park, NY; Williamsville, NY

National Provider Directory

National Provider Directory

Locations

3670 S Benzing Rd
Ste C
Orchard Park, NY 14127
Phone (716) 675-5711

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1487877817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 SOUTH BENZING",
            "address_2": "SUITE C",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-675-5711",
            "fax_number": "716-675-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 SOUTH BENZING",
            "address_2": "SUITE C",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-675-5711",
            "fax_number": "716-675-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK EAR, NOSE & THROAT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "STACHIW",
        "authorized_official_first_name": "NATALKA",
        "authorized_official_middle_name": "DARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-675-5711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NY",
            "license": "156731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.