John F Stanievich, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

143100 Issued in NY

Practice address

180 Park Club LN
Suite 200
Williamsville, NY 14221-5263

Phone

(716) 634-7350

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Buffalo ENT Specialists, LLP

  • Otolaryngology Physician
  • Williamsville, NY
  • NPI 1366528077
  Medicare reassignment NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1851333892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PARK CLUB LN",
            "address_2": "SUITE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215263",
            "telephone_number": "716-634-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PARK CLUB LN",
            "address_2": "SUITE 200",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215263",
            "telephone_number": "716-634-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANIEVICH",
        "first_name": "JOHN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "143100",
            "primary": true
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "NY",
            "license": "143100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00607974",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD ID",
            "identifier": "P00145049",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WNY ID",
            "identifier": "000508067004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA ID",
            "identifier": "00052415002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH ID",
            "identifier": "1000417",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Stahl, RN
• Renay Staley, LPN
• Scott Andrew Stambach, PA
• Troy Stancampiano, DC
• Jennifer Stanford, L.P.N.
• Renee Stankowksi, LPN
• Dylan James Stannard, DPT
• Micah Stanton, CF-SLP
• Elizabeth Scime Starks, REGISTERED NURSE
• Statera Physical Therapy, PLLC

• Otolaryngology Physician in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.