Active NPI
Justin C Kanaley, MD
- Pediatrics Physician
- West Amherst, NY
National Provider Identifier
1508802620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 239741
- Practice address
- 3950 E Robinson Rd
Suite 205
West Amherst, NY 14228-2041 - Phone
- (716) 691-3400
- Fax
- (716) 691-3404
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 239741 | NY | Primary |
Addresses
Primary practice location
3950 E Robinson Rd
Suite 205
West Amherst, NY 14228-2041
Mailing address
8205 Main St Ste 10
Williamsville, NY 14221-6054
Phone (716) 539-0789
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00027607702 | Other | UNIVERA | |
| 000528574003 | Other | BC/BS | |
| 02776272 | Medicaid | NY | |
| 1213232 | Other | IHA | |
| 071206000057 | Other | FIDELIS |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239741 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Pediatric Associates, LLP | Pediatrics | Past | Accepting new patients |
| Tonawanda Pediatrics LLP | Pediatrics | Past | Accepting new patients |
| University at Buffalo Pediatric Associates Inc | Pediatrics | Past | Accepting new patients |
| Medical Health Associates of Western New York PLLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- justinkanaleymd@mhawny.medentdirect.com
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Williamsville, NY
- NPI 1013453273
-
- Pediatrics Physician
- West Amherst, NY
- NPI 1861437279
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1912928599
-
- Pediatrics Physician
- Orchard Park, NY
- NPI 1538257977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1508802620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8205 MAIN ST STE 10",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142216054",
"telephone_number": "716-539-0789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 E ROBINSON RD",
"address_2": "SUITE 205",
"city": "WEST AMHERST",
"state": "NY",
"postal_code": "142282041",
"telephone_number": "716-691-3400",
"fax_number": "716-691-3404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANALEY",
"first_name": "JUSTIN",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "239741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00027607702",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000528574003",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02776272",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "1213232",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "071206000057",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.