Active NPI
Western New York Urology Associates, LLC
- Urology Physician
- Jamestown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- WESTERN NEW YORK UROLOGY ASSOCIATES, LLC
- Practice address
- 117 Foote Ave
Jamestown, NY 14701-6947 - Phone
- (716) 338-9200
- Fax
- (716) 338-9250
- NPI assigned
- Mar 6, 2007
- Last updated
- Jul 9, 2010
- Organization subpart
- Yes
- Parent organization
- WESTERN NEW YORK UROLOGY ASSOCIATES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter J Walter, MD
- Title
- Physician Partner
- Phone
- (716) 488-1851
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | NU | ||
| Radiation Oncology Physician | 2085R0001X | NU | ||
| Urology Physician | 208800000X | NU | Primary |
Addresses
Primary practice location
117 Foote Ave
Jamestown, NY 14701-6947
Mailing address
PO Box 1094
Wholesale Lockbox CD2
Buffalo, NY 14240-1094
Phone (716) 488-1851
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01417481 | Medicaid | NY |
Other names 1
- Jamestown Division
National Provider Directory
National Provider DirectoryLocations
229 Summit St
Ste 10
Batavia, NY 14020
Phone (585) 344-4444
36 Ellicott St
#2
Batavia, NY 14020
Phone (585) 298-0722
12 Center St
Fredonia, NY 14063
Phone (716) 634-3500
500 Sterling Dr
Orchard Park, NY 14127
Phone (716) 677-2273
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.
-
- Urology Physician
- Jamestown, NY
- NPI 1992735377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278633600000",
"number": "1639209067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1094",
"address_2": "WHOLESALE LOCKBOX CD2",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142401094",
"telephone_number": "716-488-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 FOOTE AVE",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147016947",
"telephone_number": "716-338-9200",
"fax_number": "716-338-9250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN NEW YORK UROLOGY ASSOCIATES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WESTERN NEW YORK UROLOGY ASSOCIATES, LLC",
"enumeration_date": "2007-03-06",
"last_updated": "2010-07-09",
"status": "A",
"authorized_official_last_name": "WALTER",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN PARTNER",
"authorized_official_telephone_number": "716-488-1851",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01417481",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jamestown Division",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.