Organization Active NPI

South Buffalo Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Buffalo, NY
National Provider Identifier
1639341381
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jul 21, 2008

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.