NPIMap

Individual provider Active NPI

Benjamin Segerson, DO

  • Internal Medicine Physician
  • Clarence, NY
National Provider Identifier
1780047258
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
293101 Issued in NY
Practice address
9097 Main St
Clarence, NY 14031-1965
Phone
(716) 205-0175
NPI assigned
Apr 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 293101 NY Primary

Addresses

Primary practice location

9097 Main St
Clarence, NY 14031-1965

Mailing address

462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-4578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808002648 NY Practitioner - Osteopathic Manipulative Medicine 8527305887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Physicians of Buffalo PCGroup PAC ID 0244608008, 3 clinicians

Practice addresses (Care Compare)

9530 Main St
Clarence, NY 14031-1915
Phone (716) 320-3220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
293101NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frank R. Laurri, M.D. & Associates, P.C. CurrentSince Aug 1, 2019 Accepting new patients
Allied Physicians of Buffalo, PC CurrentSince Jan 3, 2023 Accepting new patients
Frank R. Laurri, M.D. & Associates, P.C. Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients

Locations

13500 Broadway St
Alden, NY 14004
Phone (716) 320-3220

9097 Main St
Clarence, NY 14031
Phone (716) 222-0297

9530 Main St
Clarence, NY 14031
Phone (716) 320-3220

10175 Niagara Falls Blvd
#1
Niagara Falls, NY 14304
Phone (716) 205-0170

Interoperability endpoints

  • Direct secure messaging: benjaminsegerson@alliedphysiciansofbuffalo.medentdirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1780047258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9097 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311965",
            "telephone_number": "716-205-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGERSON",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-01",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "293101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarence, NY

Sources for this page

Verify at the official NPI Registry.