Active NPI
Roy M Phipps
- Registered Nurse
- Buffalo, NY
National Provider Identifier
1649162405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 773140-01
- Practice address
- 3435 Main Street
326 Wende Hall
Buffalo, NY 14214 - Phone
- (716) 946-0626
- NPI assigned
- Jul 16, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 773140-01 | NY | Primary |
Addresses
Primary practice location
3435 Main Street
326 Wende Hall
Buffalo, NY 14214
Mailing address
6833 Slayton Settlement Rd
Lockport, NY 14094-9414
Phone (716) 946-0626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 773140-01 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1649162405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6833 SLAYTON SETTLEMENT RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140949414",
"telephone_number": "716-946-0626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 MAIN STREET",
"address_2": "326 WENDE HALL",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14214",
"telephone_number": "716-946-0626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIPPS",
"first_name": "ROY",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-07-16",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "773140-01",
"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 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.