NPIMap

Organization Active NPI

CCS Oncology PC

Doing business as CCS Primary Care

  • Family Medicine Physician
  • Cheektowaga, NY
National Provider Identifier
1689076986
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CCS ONCOLOGY PC
Doing business as
CCS Primary Care
Practice address
2625 Harlem Rd
Suite 261
Cheektowaga, NY 14225-4031
Phone
(716) 218-3887
NPI assigned
Sep 18, 2014
Last updated
Oct 16, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
CCS ONCOLOGY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Dr. Won Sam Yi, MD
Title
Medical Director
Phone
(716) 810-9631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2625 Harlem Rd
Suite 261
Cheektowaga, NY 14225-4031

Mailing address

45 Spindrift Dr
Williamsville, NY 14221-7889
Phone (716) 810-9631

Other names 1

  • CCS Primary Care Doing business as

National Provider Directory

National Provider Directory
Part of
CCS Oncology PC

Locations

2625 Harlem Rd
Ste 180
Cheektowaga, NY 14225
Phone (716) 893-1697

6932 Williams Rd
Ste 1400
Niagara Falls, NY 14304
Phone (716) 298-1635

45 Spindrift Dr
#102
Williamsville, NY 14221
Phone (716) 565-9999

55 Spindrift Dr
#100
Williamsville, NY 14221
Phone (716) 626-6300

Practitioners & affiliated clinicians

Practitioners 4

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": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1689076986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SPINDRIFT DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217889",
            "telephone_number": "716-810-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 HARLEM RD",
            "address_2": "SUITE 261",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254031",
            "telephone_number": "716-218-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCS ONCOLOGY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CCS ONCOLOGY PC",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "WON SAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "716-810-9631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCS Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.