Organization Active NPI

Delaware Surgical Group PC

  • Surgery Physician
  • Buffalo, NY
National Provider Identifier
1649357096
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DELAWARE SURGICAL GROUP PC
Practice address
1150 Youngs Rd Ste 202
Buffalo, NY 14221-8024
Phone
(716) 636-9004
Fax
(716) 636-0132
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan P Tiranno
Title
Office Manager
Phone
(716) 636-9004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1150 Youngs Rd Ste 202
Buffalo, NY 14221-8024

Mailing address

1150 Youngs Rd Ste 202
Buffalo, NY 14221-8024
Phone (716) 636-9004

National Provider Directory

National Provider Directory

Locations

1150 Youngs Rd
Ste 202
Williamsville, NY 14221
Phone (716) 884-3838

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649357096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD STE 202",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142218024",
            "telephone_number": "716-636-9004",
            "fax_number": "716-636-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD STE 202",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142218024",
            "telephone_number": "716-636-9004",
            "fax_number": "716-636-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE SURGICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIRANNO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-636-9004"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "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 Aug 22, 2020; 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.