Individual provider Active NPI

Regina Naples, PA-C

  • Addiction Medicine (Family Medicine) Physician
  • Buffalo, NY
National Provider Identifier
1508043068
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
008482-01 Issued in NY
Practice address
1237 Main St
Buffalo, NY 14209-2111
Phone
(716) 884-9101
Fax
(716) 884-7703
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 008482-01 NY Primary

Addresses

Primary practice location

1237 Main St
Buffalo, NY 14209-2111

Mailing address

1237 Main St
Buffalo, NY 14209-2111
Phone (716) 884-9101

Other practice location 1

1237 Main St
Buffalo, NY 14209-2111
Phone (716) 884-9101 ext. 3016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008482-01NYMDAddiction Medicine (Family Medicine) Physician
008482NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Community Action Organization of Western New York, Inc. CurrentSince Apr 11, 2026 Accepting new patients
Academic Medicine Services, Inc. PastSince Nov 15, 2020 Accepting new patients

Locations

1237 Main St
Buffalo, NY 14209
Phone (716) 884-9101

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1508043068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092111",
            "telephone_number": "716-884-9101",
            "fax_number": "716-884-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092111",
            "telephone_number": "716-884-9101",
            "fax_number": "716-884-7703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1237 Main St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142092111",
            "country_code": "US",
            "telephone_number": "716-884-9101 x3016",
            "fax_number": "716-884-7703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAPLES",
        "first_name": "REGINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "008482-01",
            "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 Nov 12, 2020; 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.