Active NPI
Buffalo Hospital Supply Co Inc
- Parenteral & Enteral Nutrition Supplies (DME)
- Buffalo, NY
National Provider Identifier
1568490647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00987586 | Medicaid | NY | |
| 000551035001 | Other | BLUE CROSS BLUE SHIELD | |
| 111919GD | Other | PREFERRED CARE GOLD | |
| 00011187902 | Other | UNIVERA | |
| 8290432 | Other | INDEPENDENT HEALTH |
National Provider Directory
National Provider DirectoryNPI 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
- Buffalo HC Services Inc
- Buffalo Health Homes
- Buffalo Hearing & Speech Center, Inc
- Buffalo Hearing and Speech Center
- Buffalo Heart Group
- Buffalo Internist & Associates LLC
- Buffalo Kidney Associates, LLP (Saleem a. Khan, M.D. and Mohamad Shafi, M.D.)
- Buffalo Medical Care PC
- Buffalo Medical Group, P.C.
- Buffalo Medical Group, PC
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.