Moayid Omar Fallatah, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

P135159 Issued in NY

Practice address

Elm and Carlton Streets, Roswell Park Comprehensive Ca
Attn: Department of Urology
Buffalo, NY 14263

Phone

(716) 628-2227

NPI assigned

Jul 26, 2025

Reactivated

Aug 27, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1753488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1689557985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON STREETS, ROSWELL PARK COMPREHENSIVE CA",
            "address_2": "ATTN: DEPARTMENT OF UROLOGY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14263",
            "telephone_number": "716-628-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON STREETS, ROSWELL PARK COMPREHENSIVE CA",
            "address_2": "ATTN: DEPARTMENT OF UROLOGY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14263",
            "telephone_number": "716-628-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLATAH",
        "first_name": "MOAYID",
        "middle_name": "OMAR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-26",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "deactivation_date": "2026-04-23",
        "reactivation_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "P135159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jae Joseph Falbo, DC
• Alejandro Falca Jimenez
• Eldora Falck
• Frances Falcon
• Paige Falk, MA
• Abigail M Fallon, DDS
• Eleanor A. Fallon, M.D.
• Nancy M. Fallon, MA, CCC-SLP
• Families' Child Advocacy Network, Inc.
• Families' Child Advocacy Network,Inc.

• Urology Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.