Active NPI
Michael D Aquino, DPM
- Foot & Ankle Surgery Podiatrist
- Buffalo, NY
National Provider Identifier
1720046253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- N003386
- Practice address
- 564 Niagara St
Buffalo, NY 14201-1108 - Phone
- (716) 884-1325
- Fax
- (716) 837-0799
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N003386 | NY | Primary |
Addresses
Primary practice location
564 Niagara St
Buffalo, NY 14201-1108
Mailing address
929 Brighton Rd
Tonawanda, NY 14150-8113
Phone (716) 837-1500
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00762881 | Medicaid | NY | |
| 8903879 | Other | NY | INDEPENDENT HEALTH |
| 000500064001 | Other | NY | BLUE CROSS/BLUE SHIELD |
| 00010250601 | Other | NY | UNIVERA |
| 0079077 | Other | NY | GHI |
| 050110000141 | Other | NY | FIDELIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003386 | NY | MD | Mental Health Counselor |
| N003386 | NY | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720046253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 BRIGHTON RD",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141508113",
"telephone_number": "716-837-1500",
"fax_number": "716-837-0799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 NIAGARA ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142011108",
"telephone_number": "716-884-1325",
"fax_number": "716-837-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AQUINO",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "N003386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00762881",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "8903879",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "000500064001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010250601",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0079077",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "050110000141",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.