NPIMap

Organization Active NPI

Kenmore Family Medicine

  • Registered Dietitian
  • Kenmore, NY
National Provider Identifier
1710345343
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
848683 Issued in NY
Legal business name
KENMORE FAMILY MEDICINE
Practice address
2914 Elmwood Ave
Kenmore, NY 14217-1332
Phone
(716) 875-6700
Fax
(716) 875-6853
NPI assigned
Feb 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Mrs. Jennifer Laskowski
Title
Office Manage
Phone
(716) 875-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 848683 NY Primary

Addresses

Primary practice location

2914 Elmwood Ave
Kenmore, NY 14217-1332

Mailing address

2914 Elmwood Ave
Kenmore, NY 14217-1332
Phone (716) 875-6700

National Provider Directory

National Provider Directory
Tax ID family
Kenmore Family Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1710345343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171332",
            "telephone_number": "716-875-6700",
            "fax_number": "716-875-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171332",
            "telephone_number": "716-875-6700",
            "fax_number": "716-875-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENMORE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "LASKOWSKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGE",
        "authorized_official_telephone_number": "716-875-6700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "848683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.