Active NPI
John M Aquino, DPM
- Podiatrist
- Buffalo, NY
National Provider Identifier
1508964693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N003211
- Practice address
- 2047 Clinton Street
Buffalo, NY 14206 - Phone
- (716) 827-0100
- Fax
- (716) 825-1381
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N003211 | NY | Primary |
Addresses
Primary practice location
2047 Clinton Street
Buffalo, NY 14206
Mailing address
2047 Clinton Street
Buffalo, NY 14206
Phone (716) 827-0100
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000500084005 | Other | BLUE CROSS | |
| 0544160001 | Other | NY | NHIC DME MAC JURISDICTION |
| 8903859 | Other | INDEPENDENT HEALTH | |
| 79081 | Other | GHI | |
| 00010250001 | Other | UNIRERA | |
| 480016754 | Other | MEDICARE RAILROAD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N003211 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1508964693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2047 CLINTON STREET",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14206",
"telephone_number": "716-827-0100",
"fax_number": "716-825-1381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2047 CLINTON STREET",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14206",
"telephone_number": "716-827-0100",
"fax_number": "716-825-1381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N003211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000500084005",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHIC DME MAC JURISDICTION",
"identifier": "0544160001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "8903859",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "79081",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIRERA",
"identifier": "00010250001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "480016754",
"state": null
}
],
"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 Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.