NPIMap

Organization Active NPI

Allentown Pediatric and Adolescent Medicine

  • Pediatric Adolescent Medicine Physician
  • Buffalo, NY
National Provider Identifier
1598729808
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
ALLENTOWN PEDIATRIC AND ADOLESCENT MEDICINE
Practice address
560 Franklin St
Buffalo, NY 14202-1110
Phone
(716) 332-4472
Fax
(716) 332-4675
NPI assigned
Apr 13, 2006
Last updated
Sep 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Daryl Ehlenfield, MDNPI 1033117809
Title
President
Phone
(716) 332-4472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X Primary

Addresses

Primary practice location

560 Franklin St
Buffalo, NY 14202-1110

Mailing address

560 Franklin St
Buffalo, NY 14202-1110
Phone (716) 332-4472

Other identifiers 1

IdentifierTypeStateIssuer
02374692MedicaidNY

National Provider Directory

National Provider Directory

Locations

1775 Niagara St
Buffalo, NY 14207
Phone (716) 332-4472

560 Franklin St
Buffalo, NY 14202
Phone (716) 332-4472

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1598729808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 FRANKLIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021110",
            "telephone_number": "716-332-4472",
            "fax_number": "716-332-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 FRANKLIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021110",
            "telephone_number": "716-332-4472",
            "fax_number": "716-332-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLENTOWN PEDIATRIC AND ADOLESCENT MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "EHLENFIELD",
        "authorized_official_first_name": "DARYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-332-4472",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02374692",
            "state": "NY"
        }
    ],
    "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 Sep 9, 2014; 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.