NPIMap

Organization Active NPI

Buffalo Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Amherst, NY
National Provider Identifier
1508863242
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1401231R Issued in NY
Legal business name
BUFFALO SURGERY CENTER LLC
Practice address
3921 Sheridan Dr
Amherst, NY 14226-1718
Phone
(716) 250-6520
Fax
(716) 250-6565
NPI assigned
Jul 7, 2005
Last updated
Jul 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Dorothy Liss Zimdahl, BS, RN, CNOR, CASC
Title
Administrator
Phone
(716) 250-6520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1401231R NY Primary

Addresses

Primary practice location

3921 Sheridan Dr
Amherst, NY 14226-1718

Mailing address

3921 Sheridan Dr
Amherst, NY 14226-1718
Phone (716) 250-6520

Other identifiers 3

IdentifierTypeStateIssuer
00030394701OtherNYUNIVERA
D2OtherNYINDEPENDENT HEALTH
463OtherNYBLUE CROSS & BLUE SHIELDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050526000816 NY Part B Supplier - Ambulatory Surgical Center 9032151261 Receives reassigned benefits from 26 practitioners
Practice locations: Amherst, NY
O20230619000542 NY Part B Supplier - Ambulatory Surgical Center 9032151261 Practice locations: Amherst, NY

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Buffalo Surgery Center LLCCCN 33C0001051
Medicare certification status
ActiveFrom the Provider of Services file

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
33D2182409Buffalo Surgery Center LLC3921 Sheridan Drive, Amherst, NY 14226Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

3925 Sheridan Dr
Ste 120
Amherst, NY 14226
Phone (716) 250-6500

Practitioners & affiliated clinicians

Practitioners 91

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 91

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1508863242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 SHERIDAN DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261718",
            "telephone_number": "716-250-6520",
            "fax_number": "716-250-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 SHERIDAN DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261718",
            "telephone_number": "716-250-6520",
            "fax_number": "716-250-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "ZIMDAHL",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "LISS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-250-6520",
        "authorized_official_credential": "BS, RN, CNOR, CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "1401231R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00030394701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "D2",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELDS",
            "identifier": "463",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.