Individual provider Active NPI

Krystene Boyle Dipaola, M.D.

  • Reproductive Endocrinology Physician
  • Buffalo, NY
National Provider Identifier
1538215371
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
281913 Issued in NY
Practice address
1408 Sweet Home Rd # 9-10
Buffalo, NY 14228-2783
Phone
(716) 243-8377
Fax
(716) 796-0768
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 35089505 OH
Obstetrics & Gynecology Physician 207V00000X 35-089505 OH
Reproductive Endocrinology Physician 207VE0102X 281913 NY Primary

Addresses

Primary practice location

1408 Sweet Home Rd # 9-10
Buffalo, NY 14228-2783

Mailing address

1623 Military Rd # 367
Niagara Falls, NY 14304-1745
Phone (716) 243-8377

Other names 1

  • Dr. Krystene Boyle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2020 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-089505OHMDObstetrics & Gynecology Physician
281913NYMDReproductive Endocrinology Physician
35089505OHMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Your Family Fertility PLLC Reproductive Endocrinology Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1408 Sweet Home Rd
#910
Buffalo, NY 14228
Phone (716) 243-8377

1408 Sweet Home Rd
Ste 9
Buffalo, NY 14228
Phone (716) 243-8377

1623 Military Rd
#367
Niagara Falls, NY 14304

630 Frankhauser Rd
Williamsville, NY 14221
Phone (716) 243-8377

Interoperability endpoints

  • Direct secure messaging: drdipaola@yff.medentdirect.com

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1538215371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 MILITARY RD # 367",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041745",
            "telephone_number": "716-243-8377",
            "fax_number": "716-796-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 SWEET HOME RD # 9-10",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142282783",
            "telephone_number": "716-243-8377",
            "fax_number": "716-796-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPAOLA",
        "first_name": "KRYSTENE",
        "middle_name": "BOYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OH",
            "license": "35089505",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-089505",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "281913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTENE",
            "last_name": "BOYLE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.