NPIMap

Organization Active NPI

Wny Coordinated Medical Care PC

  • Family Medicine Physician
  • Buffalo, NY
National Provider Identifier
1760153191
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WNY COORDINATED MEDICAL CARE PC
Practice address
511 Farber Lakes Dr
Buffalo, NY 14221-5779
Phone
(716) 635-3635
NPI assigned
Sep 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Ms. Whitney M Phelps
Title
Lawyer
Phone
(518) 689-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

511 Farber Lakes Dr
Buffalo, NY 14221-5779

Mailing address

511 Farber Lakes Dr
Buffalo, NY 14221-5779
Phone (716) 635-3635

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL wnycmc.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2267801Wny Coordinated Medical Care PC511 Farber Lakes Drive, Buffalo, NY 14221Certificate of waiverAug 30, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1760153191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 FARBER LAKES DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142215779",
            "telephone_number": "716-635-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 FARBER LAKES DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142215779",
            "telephone_number": "716-635-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WNY COORDINATED MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LAWYER",
        "authorized_official_telephone_number": "518-689-1400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wnycmc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "511 Farber Lakes Dr",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142215779",
            "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 Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.