Active NPI
John N Laduca, MD
- Trauma Surgery Physician
- Buffalo, NY
National Provider Identifier
1831117498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 104626
- Practice address
- 462 Grider St
Dept of Surgery
Buffalo, NY 14215 - Phone
- (716) 898-5186
- Fax
- (716) 898-5029
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | 104626 | NY | Primary |
Addresses
Primary practice location
462 Grider St
Dept of Surgery
Buffalo, NY 14215
Mailing address
PO Box 8000
Dept 313 University at Buffalo Surgeons Inc
Buffalo, NY 14267
Phone (716) 898-5227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00605096 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104626 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831117498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8000",
"address_2": "DEPT 313 UNIVERSITY AT BUFFALO SURGEONS INC",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14267",
"telephone_number": "716-898-5227",
"fax_number": "716-898-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 GRIDER ST",
"address_2": "DEPT OF SURGERY",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14215",
"telephone_number": "716-898-5186",
"fax_number": "716-898-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADUCA",
"first_name": "JOHN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NY",
"license": "104626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00605096",
"state": "NY"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.