Organization Active NPI

Veterans Administration Western New York Healthcare System

  • General Acute Care Hospital
  • Buffalo, NY
National Provider Identifier
1639104839
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
027125 Issued in NY
Legal business name
VETERANS ADMINISTRATION WESTERN NEW YORK HEALTHCARE SYSTEM
Practice address
3495 Bailey Ave
Buffalo, NY 14215-1129
Phone
(716) 862-6334
NPI assigned
Jul 12, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Theodore Gerard Pudhorodsky, R.PH.NPI 1881859031
Title
Pharmacy Manager
Phone
(716) 862-6334

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 Acute Care Hospital 282N00000X 027125 NY Primary

Addresses

Primary practice location

3495 Bailey Ave
Buffalo, NY 14215-1129

Mailing address

21 Old Farm Rd
Orchard Park, NY 14127-2853
Phone (716) 667-3967

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639104839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 OLD FARM RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272853",
            "telephone_number": "716-667-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 BAILEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151129",
            "telephone_number": "716-862-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS ADMINISTRATION WESTERN NEW YORK HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PUDHORODSKY",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "716-862-6334",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "027125",
            "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 21, 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.