Pediatric Endocrinology & Diabetes of Wny, PLLC

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

Legal business name

PEDIATRIC ENDOCRINOLOGY & DIABETES OF WNY, PLLC

Practice address

621 10TH St
H3
Niagara Falls, NY 14301-1813

Phone

(716) 282-2452

Fax

(716) 284-0235

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

David C Plache, MDNPI 1558340505

Title

President

Phone

(716) 282-2452

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David C. Plache, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Williamsville, NY
  • NPI 1558340505
  NPD (past) Authorized official
• Janice M. Kozakiewicz, RN/CDE

  • Diabetes Educator Registered Nurse
  • Niagara Falls, NY
  • NPI 1932206034
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679509822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD",
            "address_2": "SUITE 208",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-3302",
            "fax_number": "716-692-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 10TH ST",
            "address_2": "H3",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011813",
            "telephone_number": "716-282-2452",
            "fax_number": "716-284-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ENDOCRINOLOGY & DIABETES OF WNY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLACHE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-282-2452",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laquesha Pearlie Patterson, MFT
• Joel H Paull, D.D.S., M.D.
• Loren Lorraine Pavlovic, PHARM.D.
• Kenneth Alexander Pawlukovich II, PHARMD
• Douglas Allen Pearce, FNP
• Pamela Marie Pellerite, DDS
• Courtney Penque, FNP
• Nicole Marie Pera, LMHC
• Jeffrey Peresie, CASAC2
• Mark Perry, MD

• Pediatric Endocrinology Physician in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Pediatric Endocrinology Physician in New York

• 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.