Active NPI
Paula Marie Vivona, DPM
- Podiatrist
- Buffalo, NY
National Provider Identifier
1720665607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N007391-01
- Practice address
- 3495 Bailey Ave
Buffalo, NY 14215-1129 - Phone
- (716) 834-9200
- NPI assigned
- Mar 26, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N007391-01 | NY | Primary |
Addresses
Primary practice location
3495 Bailey Ave
Buffalo, NY 14215-1129
Mailing address
107 Fairton Millville Rd
Bridgeton, NJ 08302-7167
Phone (185) 677-6397
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | paulamvivona@comcast.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N007391-01 | NY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| General Physician, PC | Past | Accepting new patients |
Locations
100 High St
#D3
Buffalo, NY 14203
Phone (716) 859-1168
900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1720665607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 FAIRTON MILLVILLE RD",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083027167",
"telephone_number": "185-677-6397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 BAILEY AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142151129",
"telephone_number": "716-834-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIVONA",
"first_name": "PAULA",
"middle_name": "MARIE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-26",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N007391-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "paulamvivona@comcast.net",
"affiliation": "N",
"address_1": "107 Fairton Millville Rd",
"city": "Bridgeton",
"state": "NJ",
"country_code": "US",
"postal_code": "083027167",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.