Organization Active NPI

Upstate New York Transplant Services Inc

  • Organ Procurement Organization
  • Williamsville, NY
National Provider Identifier
1497824536
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Organ Procurement OrganizationTaxonomy code 335U00000X
Legal business name
UPSTATE NEW YORK TRANSPLANT SERVICES INC
Practice address
4444 Bryant Stratton Way
Williamsville, NY 14221-6013
Phone
(716) 529-4000
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Fredrick Gill
Title
VP - Finance & Operations
Phone
(716) 529-4304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Organ Procurement Organization 335U00000X Primary

Addresses

Primary practice location

4444 Bryant Stratton Way
Williamsville, NY 14221-6013

Mailing address

4444 Bryant and Stratton Way
Williamsville, NY 14221-6013
Phone (716) 529-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060119000459 NY Part A Provider - Organ Procurement Organization (Opo) 7618962689 Practice locations: Williamsville, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1022479Upstate New York Transplant Services, Inc4444 Bryant and Stratton Way, Williamsville, NY 14221ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

110 Broadway St
Buffalo, NY 14203
Phone (716) 555-1212

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1497824536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 BRYANT AND STRATTON WAY",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216013",
            "telephone_number": "716-529-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 BRYANT STRATTON WAY",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216013",
            "telephone_number": "716-529-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE NEW YORK TRANSPLANT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_title_or_position": "VP - FINANCE & OPERATIONS",
        "authorized_official_telephone_number": "716-529-4304"
    },
    "taxonomies": [
        {
            "code": "335U00000X",
            "taxonomy_group": "",
            "desc": "Organ Procurement Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.