Organization Active NPI

Credi & Desa Associates P.C.

  • Surgery Physician
  • Batavia, NY
National Provider Identifier
1790718583
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
123054 Issued in NY
Legal business name
CREDI & DESA ASSOCIATES P.C.
Practice address
403 Garden Dr
Batavia, NY 14020-1717
Phone
(585) 343-4632
Fax
(585) 343-8017
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Magdi E. Credi, M.D.
Title
President
Phone
(585) 343-4632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 123054 NY Primary

Addresses

Primary practice location

403 Garden Dr
Batavia, NY 14020-1717

Mailing address

403 Garden Dr
Batavia, NY 14020-1717
Phone (585) 343-4632

National Provider Directory

National Provider Directory

Locations

207 Summit St
Ste B
Batavia, NY 14020
Phone (716) 343-4274

207 Summit St
Ste D
Batavia, NY 14020
Phone (585) 343-4274

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790718583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 GARDEN DR",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201717",
            "telephone_number": "585-343-4632",
            "fax_number": "585-343-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 GARDEN DR",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201717",
            "telephone_number": "585-343-4632",
            "fax_number": "585-343-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDI & DESA ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CREDI",
        "authorized_official_first_name": "MAGDI",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-343-4632",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "123054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.