Active NPI
Caitlin Abdulla LLC
- Nurse Practitioner
- Buffalo, NY
National Provider Identifier
1750241907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- CAITLIN ABDULLA LLC
- Practice address
- 4220 Lake Ave
Buffalo, NY 14219-1217 - Phone
- (716) 222-2028
- Fax
- (716) 259-8058
- NPI assigned
- Nov 12, 2025
- Last updated
- Nov 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caitlin Brooks
- Title
- Owner
- Phone
- (716) 861-2745
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
4220 Lake Ave
Buffalo, NY 14219-1217
Mailing address
254 Ingham Ave
Lackawanna, NY 14218-2542
Phone (716) 222-2028
National Provider Directory
National Provider DirectoryLocations
4220 Lake Ave
Buffalo, NY 14219
Phone (716) 222-2028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762905600000",
"number": "1750241907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 INGHAM AVE",
"city": "LACKAWANNA",
"state": "NY",
"postal_code": "142182542",
"telephone_number": "716-222-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4220 LAKE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142191217",
"telephone_number": "716-222-2028",
"fax_number": "716-259-8058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAITLIN ABDULLA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-12",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "CAITLIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-861-2745"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.