Organization Active NPI

Pearls of Wisdomotb LLC

  • Health Maintenance Organization
  • Buffalo, NY
National Provider Identifier
1659701902
Registry record updated Nov 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
PEARLS OF WISDOMOTB LLC
Practice address
76 Orange St
Buffalo, NY 14204-1219
Phone
(716) 856-0360
NPI assigned
Nov 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2013

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

Authorized official

Name
Ms. Cynthia Ann Felder, RN
Title
Vice President
Phone
(716) 573-4290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

76 Orange St
Buffalo, NY 14204-1219

Mailing address

76 Orange St
Buffalo, NY 14204-1219
Phone (716) 856-0360

National Provider Directory

National Provider Directory

Locations

76 Orange St
Buffalo, NY 14204
Phone (716) 715-3156

NPI Registry JSON

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

{
    "created_epoch": "1385164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385164800000",
    "number": "1659701902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 ORANGE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142041219",
            "telephone_number": "716-856-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 ORANGE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142041219",
            "telephone_number": "716-856-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLS OF WISDOMOTB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-23",
        "last_updated": "2013-11-23",
        "status": "A",
        "authorized_official_last_name": "FELDER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "716-573-4290",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "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 Nov 23, 2013; 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.