Organization Active NPI

Western New York Urology Associates, LLC

  • Urology Physician
  • Jamestown, NY
National Provider Identifier
1639209067
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
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, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN NEW YORK UROLOGY ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Dr. Peter J Walter, MDNPI 1992735377
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01417481MedicaidNY

Other names 1

  • Jamestown Division Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.