Cedar Pediatrics PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

200115-1 Issued in NY

Legal business name

CEDAR PEDIATRICS PLLC

Practice address

1010 Main St
Buffalo, NY 14202-1102

Phone

(716) 570-0524

NPI assigned

Dec 15, 2017

Last updated

Dec 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Fretz, MDNPI 1033217666

Title

Owner

Phone

(716) 570-0524

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Stephanie H Fretz, MD

  • Pediatrics Physician
  • Buffalo, NY
  • NPI 1033217666
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1639685464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BERRYMAN DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021102",
            "telephone_number": "716-570-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "FRETZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-570-0524",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "200115-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01650600",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cazenovia Recovery Systems, Inc.
• Cazenovia Recovery Systems, Inc.
• Cazenovia Recovery Systems, Inc.
• Alice C. Ceacareanu, PHARMD, PHD
• William Lewis Cecere III, D.D.S., M.D.
• Katelyn Cefali, PA-C
• Angelina Celej
• Denise M Cellini
• Donna Cellini
• Jenna Cellino

• Primary Care Clinic/Center in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.