Organization Active NPI

Buffalo Hospital Supply Co Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Buffalo, NY
National Provider Identifier
1568490647
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
BUFFALO HOSPITAL SUPPLY CO INC
Practice address
4039 Genesee St
Buffalo, NY 14225-1904
Phone
(716) 626-9400
Fax
(716) 626-4307
NPI assigned
Jun 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephen J Corcoran
Title
Chief Operating Officer
Phone
(716) 626-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

4039 Genesee St
Buffalo, NY 14225-1904

Mailing address

4039 Genesee St
Buffalo, NY 14225-1904
Phone (716) 626-9400

Other identifiers 5

IdentifierTypeStateIssuer
00987586MedicaidNY
000551035001OtherBLUE CROSS BLUE SHIELD
111919GDOtherPREFERRED CARE GOLD
00011187902OtherUNIVERA
8290432OtherINDEPENDENT HEALTH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568490647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 GENESEE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251904",
            "telephone_number": "716-626-9400",
            "fax_number": "716-626-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 GENESEE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251904",
            "telephone_number": "716-626-9400",
            "fax_number": "716-626-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO HOSPITAL SUPPLY CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "716-626-9400"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00987586",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000551035001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE GOLD",
            "identifier": "111919GD",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00011187902",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "8290432",
            "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 Aug 22, 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.