Organization Active NPI

Renew Medical, PLLC

  • General Practice Physician
  • Williamsville, NY
National Provider Identifier
1609554435
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
RENEW MEDICAL, PLLC
Practice address
100 College Pkwy Ste 100
Williamsville, NY 14221-6800
Phone
(716) 657-3639
Fax
(716) 892-3645
NPI assigned
Jul 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Nishikant S HarveyNPI 1912973629
Title
Owner and Physician
Phone
(716) 765-2840

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

100 College Pkwy Ste 100
Williamsville, NY 14221-6800

Mailing address

PO Box 1167
Buffalo, NY 14231-1167
Phone (716) 657-3639

Other practice location 1

3980 Sheridan Dr Ste 401
Buffalo, NY 14226-1727
Phone (716) 657-3639

Other practice location 2

3112 Sheridan Dr
Buffalo, NY 14226-1904
Phone (716) 343-7979

National Provider Directory

National Provider Directory

Locations

1000 Youngs Rd
Ste 103
Williamsville, NY 14221
Phone (888) 999-9470

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1609554435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1167",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142311167",
            "telephone_number": "716-657-3639",
            "fax_number": "716-892-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLLEGE PKWY STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216800",
            "telephone_number": "716-657-3639",
            "fax_number": "716-892-3645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3980 Sheridan Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142261727",
            "country_code": "US",
            "telephone_number": "716-657-3639",
            "fax_number": "716-892-3645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3112 Sheridan Dr",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142261904",
            "country_code": "US",
            "telephone_number": "716-343-7979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEW MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "NISHIKANT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER AND PHYSICIAN",
        "authorized_official_telephone_number": "716-765-2840"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.