Active NPI
Shirley a Anain MD PC
- Plastic Surgery Physician
- Amherst, NY
National Provider Identifier
1598082463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 187404
- Legal business name
- SHIRLEY A ANAIN MD PC
- Practice address
- 4949 Harlem Rd
Suite 302
Amherst, NY 14226-2500 - Phone
- (716) 838-1333
- Fax
- (716) 835-5595
- NPI assigned
- Apr 30, 2010
- 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
- Mrs. Susan J. Melber
- Title
- Medical Practice Manager
- Phone
- (716) 838-1333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 187404 | NY | Primary |
Addresses
Primary practice location
4949 Harlem Rd
Suite 302
Amherst, NY 14226-2500
Mailing address
4949 Harlem Rd
Suite 302
Amherst, NY 14226-2500
Phone (716) 838-1333
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1308585 | Other | NY | INDEPENDENT HEALTH |
| 187404 | Other | NY | STATE LICENSE |
| 000511535003 | Other | NY | BC/BS |
| 040426000908 | Other | NY | FIDELIS CARE |
| 01382636 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Amherst, NY
- NPI 1891755708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277164800000",
"number": "1598082463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4949 HARLEM RD",
"address_2": "SUITE 302",
"city": "AMHERST",
"state": "NY",
"postal_code": "142262500",
"telephone_number": "716-838-1333",
"fax_number": "716-835-5595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4949 HARLEM RD",
"address_2": "SUITE 302",
"city": "AMHERST",
"state": "NY",
"postal_code": "142262500",
"telephone_number": "716-838-1333",
"fax_number": "716-835-5595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIRLEY A ANAIN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-30",
"last_updated": "2010-06-22",
"status": "A",
"authorized_official_last_name": "MELBER",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "MEDICAL PRACTICE MANAGER",
"authorized_official_telephone_number": "716-838-1333",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "NY",
"license": "187404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1308585",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "187404",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000511535003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE",
"identifier": "040426000908",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01382636",
"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 Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.