Active NPI
Sanil Balkrishna Nigalye, D.D.S., M.D,
- Oral and Maxillofacial Surgery (Dentist)
- Buffalo, NY
National Provider Identifier
1760536551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 049563-1
- 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
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 |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 049563-1 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
| 049563 | NY | MD | Pharmacist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.