Organization Active NPI

Gateway-Longview

  • Voluntary or Charitable Agency
  • Buffalo, NY
National Provider Identifier
1710158134
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
GATEWAY-LONGVIEW
Practice address
605 Niagara St
Buffalo, NY 14201-1044
Phone
(716) 883-4531
Fax
(716) 883-4591
NPI assigned
Mar 13, 2008
Last updated
Oct 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Authorized official

Name
Carolyne Defranco, LCSW-R
Title
President & Ceo
Phone
(716) 783-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

605 Niagara St
Buffalo, NY 14201-1044

Mailing address

6350 Main Street
Williamsville, NY 14221-5821
Phone (716) 883-4531

Other identifiers 1

IdentifierTypeStateIssuer
00356538MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190130001907 NY Part B Supplier - Clinic/Group Practice 4486991338 Receives reassigned benefits from 1 practitioner
Practice locations: Buffalo, NY; Niagara Falls, NY; Williamsville, NY; Amherst, NY

National Provider Directory

National Provider Directory
Tax ID family
Gateway-Longview3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations (25 of 34)

47 Bloomingdale Ave
Rm H107
Akron, NY 14001

1901 Sweet Home Rd
Rm 589
Amherst, NY 14228

4301 Main St
Rm 103
Amherst, NY 14226

8855 Erie Rd
Rm 320
Angola, NY 14006

1 Martin Luther King Park
Buffalo, NY 14211

1045 W Delavan Ave
Rm 123
Buffalo, NY 14209

1140 Ellicott St
Rm 208
Buffalo, NY 14209

140 Tacoma Ave
Rm 1087A
Buffalo, NY 14216

140 Tacoma Ave
Rm 108A
Buffalo, NY 14216

15 Jewett Pkwy
Rm 111
Buffalo, NY 14214

150 Southside Pkwy
Rm 103
Buffalo, NY 14220

1500 Elmwood Ave
Rm 405A
Buffalo, NY 14207

16 Peter St
Rm 204
Buffalo, NY 14207

1725 Clinton St
Rm 117
Buffalo, NY 14206

186 E North St
Rm 209
Buffalo, NY 14204

2245 Kenmore Ave
Rm 18
Buffalo, NY 14207

2303 Kenmore Ave
Rm 331
Buffalo, NY 14207

24 Shoshone St
Rm 211
Buffalo, NY 14214

249 Skillen St
Rm 113
Buffalo, NY 14207

275 Oak St
Ste 220
Buffalo, NY 14203

319 Suffolk St
Buffalo, NY 14215
Phone (716) 816-4327

329 Roehrer Ave
Rm 225B
Buffalo, NY 14208

400 Kensington Ave
Buffalo, NY 14214
Phone (716) 816-4459

425 S Park Ave
Rm 125
Buffalo, NY 14204

453 Leroy Ave
Rm 102A
Buffalo, NY 14215

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1710158134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 MAIN STREET",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215821",
            "telephone_number": "716-883-4531",
            "fax_number": "716-883-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011044",
            "telephone_number": "716-883-4531",
            "fax_number": "716-883-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY-LONGVIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "DEFRANCO",
        "authorized_official_first_name": "CAROLYNE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "716-783-3100",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00356538",
            "state": "NY"
        }
    ],
    "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 Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.