NPIMap

Organization Active NPI

Delaware Medical Group P.C.

  • Specialist
  • Buffalo, NY
National Provider Identifier
1841226966
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DELAWARE MEDICAL GROUP P.C.
Practice address
1083 Delaware Ave
Buffalo, NY 14209-1635
Phone
(716) 882-1023
Fax
(716) 882-1022
NPI assigned
Jun 23, 2006
Last updated
Sep 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Dr. Michael Samuel HaarNPI 1144258641
Title
President
Phone
(716) 882-1023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1083 Delaware Ave
Buffalo, NY 14209-1635

Mailing address

1083 Delaware Ave
Buffalo, NY 14209-1635
Phone (716) 882-1023

Other identifiers 1

IdentifierTypeStateIssuer
BA0645OtherNYGROUP PIN#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050926000922 NY Part B Supplier - Clinic/Group Practice 5698709988 Receives reassigned benefits from 8 practitioners
Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory

Locations

1780 Wehrle Dr
Williamsville, NY 14221

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1841226966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091635",
            "telephone_number": "716-882-1023",
            "fax_number": "716-882-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091635",
            "telephone_number": "716-882-1023",
            "fax_number": "716-882-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE MEDICAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "HAAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-882-1023",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN#",
            "identifier": "BA0645",
            "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 Sep 4, 2019; 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.