Fallon Health Weinberg

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

FALLON HEALTH WEINBERG

Practice address

461 John James Audubon Pkwy
Amherst, NY 14228-1141

Phone

(716) 810-1895

Fax

(716) 250-3160

NPI assigned

Mar 9, 2016

Organization subpart

No

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

Authorized official

Name

Courtney Fasolino

Title

Executive Director

Phone

(716) 810-1828

Specialties & licenses 1

Addresses

Tax ID family

Fallon Health Weinberg2 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.

• Total Aging in Place Program, Inc.

  • Health Maintenance Organization
  • Amherst, NY
  • NPI 1659477552
  NPD tax ID

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1750742367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 JOHN JAMES AUDUBON PARKWAY",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "14228",
            "telephone_number": "716-810-1895",
            "fax_number": "716-250-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 JOHN JAMES AUDUBON PKWY",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281141",
            "telephone_number": "716-810-1895",
            "fax_number": "716-250-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLON HEALTH WEINBERG",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "FASOLINO",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-810-1828"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Fabiano
• Kathryn Ann Fahey
• Diana Marie Falco, MA, CCC-SLP
• James Fallavollita, MD
• Jonathan Falletta, RPA-C
• Kalifala Fane
• Michael James Fanning, MD
• William Joseph Faricellie III, DMD,MS,BA
• Scott M Farley, D.D.S.
• Jessica Farrell, D.C.

• Exclusive Provider Organization in Amherst, NY
• Providers in Amherst, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.