Active NPI
South Buffalo Medical Supply
- Durable Medical Equipment & Medical Supplies
- Buffalo, NY
National Provider Identifier
1639341381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SOUTH BUFFALO MEDICAL SUPPLY
- Practice address
- 682 Abbott Rd
Lower
Buffalo, NY 14220-2042 - Phone
- (716) 983-7557
- NPI assigned
- Apr 1, 2008
- 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
- Alicia Fedele
- Title
- Owner
- Phone
- (716) 983-7557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
682 Abbott Rd
Lower
Buffalo, NY 14220-2042
Mailing address
682 Abbott Rd
Lower
Buffalo, NY 14220-2042
Phone (716) 983-7557
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216598400000",
"number": "1639341381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "682 ABBOTT RD",
"address_2": "LOWER",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142202042",
"telephone_number": "716-983-7557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "682 ABBOTT RD",
"address_2": "LOWER",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142202042",
"telephone_number": "716-983-7557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BUFFALO MEDICAL SUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-01",
"last_updated": "2008-07-21",
"status": "A",
"authorized_official_last_name": "FEDELE",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-983-7557"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"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, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.