Individual provider Active NPI

Amy Tamayo Quinlivan, M.D.

  • Internal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1689698177
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
217832 Issued in NY
Practice address
3495 Bailey Ave
Primary Care Group 2
Buffalo, NY 14215-1129
Phone
(716) 862-8881
Fax
(716) 862-7812
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 217832 NY Primary

Addresses

Primary practice location

3495 Bailey Ave
Primary Care Group 2
Buffalo, NY 14215-1129

Mailing address

44 Waterfront Cir
Buffalo, NY 14202-4315
Phone (716) 852-1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160527001187 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9638352933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
217832NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689698177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WATERFRONT CIR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024315",
            "telephone_number": "716-852-1015",
            "fax_number": "716-852-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 BAILEY AVE",
            "address_2": "PRIMARY CARE GROUP 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151129",
            "telephone_number": "716-862-8881",
            "fax_number": "716-862-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINLIVAN",
        "first_name": "AMY",
        "middle_name": "TAMAYO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.