Individual provider Active NPI

Sanil Balkrishna Nigalye, D.D.S., M.D,

  • Oral and Maxillofacial Surgery (Dentist)
  • Buffalo, NY
National Provider Identifier
1760536551
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
049563-1 Issued in NY
Practice address
3435 Main Street
Squire Hall University at Buffalo
Buffalo, NY 14214-3013
Phone
(716) 829-2722
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 049563-1 NY Primary

Addresses

Primary practice location

3435 Main Street
Squire Hall University at Buffalo
Buffalo, NY 14214-3013

Mailing address

6622 Main St Ste 4
Williamsville, NY 14221-5968
Phone (716) 276-3553

Other practice location 1

36 Thomas Indian School Drive
Irving, NY 14081-9300
Phone (716) 532-5582

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 22, 2016 through Jan 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
049563-1NYMDOral and Maxillofacial Surgery (Dentist)
049563NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1760536551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 MAIN ST STE 4",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215968",
            "telephone_number": "716-276-3553",
            "fax_number": "716-276-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 MAIN STREET",
            "address_2": "SQUIRE HALL UNIVERSITY AT BUFFALO",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142143013",
            "telephone_number": "716-829-2722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Thomas Indian School Drive",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "NY",
            "postal_code": "140819300",
            "country_code": "US",
            "telephone_number": "716-532-5582",
            "fax_number": "716-242-6344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIGALYE",
        "first_name": "SANIL",
        "middle_name": "BALKRISHNA",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "049563-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.