NPIMap

Individual provider Active NPI

Raymond V Paolini Jr., M.D.

  • Otology & Neurotology Physician
  • Williamsville, NY
National Provider Identifier
1609837863
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
186332 Issued in NY
Practice address
6645 Main St
Williamsville, NY 14221
Phone
(716) 634-6224
Fax
(716) 634-3816
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 186332 NY
Otology & Neurotology Physician 207YX0901X 186332 NY Primary

Addresses

Primary practice location

6645 Main St
Williamsville, NY 14221

Mailing address

6645 Main St
Williamsville, NY 14221
Phone (716) 634-6224

Other identifiers 2

IdentifierTypeStateIssuer
01766581MedicaidNY
000524678009OtherNYBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000846 NY Practitioner - Otolaryngology 0244277846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
State University of New York at Buffalo School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Ear, Nose and Throat, P.C.Group PAC ID 5193762235, 9 clinicians

Practice addresses (Care Compare)

3670 S Benzing Rd
Suite C
Orchard Park, NY 14127-1741
Phone (716) 675-5711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
186332NYMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millard Fillmore Surgery Center, LLC CurrentSince Dec 4, 2018 Accepting new patients
Western New York Ear, Nose & Throat, P.C. CurrentSince Jun 1, 2022 Accepting new patients
Buffalo Medical Group, P.C. Otolaryngology Past Accepting new patients
University Physical Medicine and Rehabilitation Associates Inc. Past Accepting new patients

Locations

726 Exchange St
Ste 300
Buffalo, NY 14210
Phone (716) 859-8313

37 Professional Pkwy
Lockport, NY 14094
Phone (716) 634-6224

3670 S Benzing Rd
Ste C
Orchard Park, NY 14127
Phone (716) 675-5711

215 Klein Rd
Williamsville, NY 14221
Phone (716) 568-6100

6645 Main St
Ste B
Williamsville, NY 14221
Phone (716) 633-0721

6645 Main St
Williamsville, NY 14221
Phone (716) 631-0932

6255 Sheridan Dr
Ste 108
Williamsville, NY 14221
Phone (716) 630-1219

Interoperability endpoints

  • Direct secure messaging: drpaolini@wnyent.medentdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1609837863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-634-6224",
            "fax_number": "716-634-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-634-6224",
            "fax_number": "716-634-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLINI",
        "first_name": "RAYMOND",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "186332",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "NY",
            "license": "186332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01766581",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000524678009",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.