NPIMap

Organization Active NPI

Mercy Hospital of Buffalo

  • Rehabilitation Hospital Unit
  • Buffalo, NY
National Provider Identifier
1659310605
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
1401008H Issued in NY
Legal business name
MERCY HOSPITAL OF BUFFALO
Practice address
565 Abbott Rd
Buffalo, NY 14220-2039
Phone
(716) 826-7000
NPI assigned
Jun 5, 2006
Last updated
Sep 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Charles J Urlaub
Title
Ceo
Phone
(716) 828-2008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 1401008H NY Primary

Addresses

Primary practice location

565 Abbott Rd
Buffalo, NY 14220-2039

Mailing address

565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 826-7000

Other identifiers 5

IdentifierTypeStateIssuer
00000007001OtherNYHEALTHNOW
0011412901OtherNYUNIVERA
00354412MedicaidNY
67OtherNYINDEPENDENT HEALTH
40401000064OtherNYFIDELIS

Other names 1

  • Mercy Hospital Rehabilitation Unit Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702001253 NY Part B Supplier - Clinic/Group Practice 8729991666 Receives reassigned benefits from 632 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Seneca, NY; Springville, NY; Orchard Park, NY; Lackawanna, NY; Buffalo, NY; Kenmore, NY; East Aurora, NY; Cheektowaga, NY

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

144 Genesee St
Buffalo, NY 14203
Phone (716) 206-1510

2950 Elmwood Ave
#2
Buffalo, NY 14217

515 Abbott Rd
Ste 204
Buffalo, NY 14220
Phone (716) 828-3123

565 Abbott Rd
#1
Buffalo, NY 14220

565 Abbott Rd
#2
Buffalo, NY 14220

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

565 Abbott Rd
Ste 1
Buffalo, NY 14220

565 Abbott Rd
Ste 2
Buffalo, NY 14220

565 Abbott Rd
Ste 300
Buffalo, NY 14220

3669 Southwestern Blvd
Ste 100
Orchard Park, NY 14127

Practitioners & affiliated clinicians

Practitioners 210

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.

View all 210

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1659310605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 ABBOTT RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202039",
            "telephone_number": "716-826-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ABBOTT RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202039",
            "telephone_number": "716-826-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL OF BUFFALO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "URLAUB",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-828-2008"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NY",
            "license": "1401008H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "00000007001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "0011412901",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354412",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "67",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "40401000064",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Hospital Rehabilitation Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.