Active NPI
David J. Serra, M.D., P.C.
- Hospitalist Physician
- Kenmore, NY
National Provider Identifier
1639201858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- DAVID J. SERRA, M.D., P.C.
- Practice address
- 2950 Elmwood Ave
Kenmore, NY 14217-1304 - Phone
- (716) 649-0887
- Fax
- (716) 646-4611
- NPI assigned
- Mar 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Betsy Rowe
- Title
- Billing Department
- Phone
- (716) 649-0887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
2950 Elmwood Ave
Kenmore, NY 14217-1304
Mailing address
2950 Elmwood Ave
Kenmore, NY 14217-1304
Phone (716) 649-0887
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421971200000",
"number": "1639201858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 ELMWOOD AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171304",
"telephone_number": "716-649-0887",
"fax_number": "716-646-4611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 ELMWOOD AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171304",
"telephone_number": "716-649-0887",
"fax_number": "716-646-4611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID J. SERRA, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2015-01-23",
"status": "A",
"authorized_official_last_name": "ROWE",
"authorized_official_first_name": "BETSY",
"authorized_official_title_or_position": "BILLING DEPARTMENT",
"authorized_official_telephone_number": "716-649-0887"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.