NPIMap

Organization Active NPI

Excelsior Orthopaedics LLP

  • Orthopaedic Surgery Physician
  • Amherst, NY
National Provider Identifier
1831196757
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
EXCELSIOR ORTHOPAEDICS LLP
Practice address
3925 Sheridan Drive
Amherst, NY 14226-1738
Phone
(716) 250-9999
Fax
(716) 250-6555
NPI assigned
Jul 7, 2005
Last updated
Mar 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Lisa Laski
Title
Excecutive Assistant
Phone
(716) 250-6409

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

3925 Sheridan Drive
Amherst, NY 14226-1738

Mailing address

3925 Sheridan Drive
Amherst, NY 14226-1738
Phone (716) 250-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040717000183 NY Part B Supplier - Clinic/Group Practice 2062491517 Receives reassigned benefits from 181 practitioners
Practice locations: Amherst, NY; Orchard Park, NY; Niagara Falls, NY; East Amherst, NY; Buffalo, NY; Elma, NY
O20100930070633 NY DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 2062491517 Practice locations: Amherst, NY
O20100930097673 NY DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2062491517 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Orchard Park, NY

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 186

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 186

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1831196757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 SHERIDAN DRIVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261738",
            "telephone_number": "716-250-9999",
            "fax_number": "716-250-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 SHERIDAN DRIVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261738",
            "telephone_number": "716-250-9999",
            "fax_number": "716-250-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR ORTHOPAEDICS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "LASKI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXCECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "716-250-6409"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.