Individual provider Active NPI

Osama M Al-Agha, M.D.

  • Special Hospital
  • Buffalo, NY
National Provider Identifier
1619131968
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
P62124 Issued in NY
Practice address
Roswell Park Cancer Institute Pathology Dept
Elm 7 Carlton Streets
Buffalo, NY 14263-0001
Phone
(716) 845-7700
NPI assigned
Jul 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X P62124 NY Primary

Addresses

Primary practice location

Roswell Park Cancer Institute Pathology Dept
Elm 7 Carlton Streets
Buffalo, NY 14263-0001

Mailing address

181 Allen St
Apt 2
Buffalo, NY 14201-1515
Phone (646) 339-7483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P62124NYMDSpecial Hospital

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1619131968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 ALLEN ST",
            "address_2": "APT 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011515",
            "telephone_number": "646-339-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROSWELL PARK CANCER INSTITUTE PATHOLOGY DEPT",
            "address_2": "ELM 7 CARLTON STREETS",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142630001",
            "telephone_number": "716-845-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-AGHA",
        "first_name": "OSAMA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NY",
            "license": "P62124",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 16, 2008; 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.