Individual provider Active NPI

David Peay

  • Driver
  • Buffalo, NY
National Provider Identifier
1629707310
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
646222266 Issued in NY
Practice address
19 John Paul CT
Buffalo, NY 14206-1767
Phone
(716) 715-0182
NPI assigned
Jun 8, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193400000X SINGLE SPECIALTY GROUP 172A00000X 646222266 NY Primary

Addresses

Primary practice location

19 John Paul CT
Buffalo, NY 14206-1767

Mailing address

19 John Paul CT
Buffalo, NY 14206-1767
Phone (716) 715-0182

Other identifiers 1

IdentifierTypeStateIssuer
05114407MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Buffalo Direct

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

State licenses

LicenseStateTypeSpecialty
646222266NYMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Royal PA Transportation CurrentSince Jun 12, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1629707310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 JOHN PAUL CT",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142061767",
            "telephone_number": "716-715-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 JOHN PAUL CT",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142061767",
            "telephone_number": "716-715-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAY",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "NY",
            "license": "646222266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05114407",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Buffalo",
            "affiliation": "N",
            "endpointDescription": "Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19 John Paul Ct",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142061767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 8, 2022; 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.