Active NPI
Philip M Dvoretsky, MD
- Anatomic Pathology Physician
- Buffalo, NY
National Provider Identifier
1851467757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 137783
- Practice address
- 565 Abbott Rd
Buffalo, NY 14220-2039 - Phone
- (716) 826-7000
- Fax
- (716) 213-0348
- NPI assigned
- Nov 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 137783 | NY | |
| Anatomic Pathology Physician | 207ZP0101X | 137783 | NY | Primary |
Addresses
Primary practice location
565 Abbott Rd
Buffalo, NY 14220-2039
Mailing address
PO Box 8000
Dept 173
Buffalo, NY 14267-0002
Phone (716) 692-2160
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 |
|---|---|---|---|
| 137783 | NY | MD | Anatomic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1851467757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8000",
"address_2": "DEPT 173",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142670002",
"telephone_number": "716-692-2160",
"fax_number": "716-213-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 ABBOTT RD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142202039",
"telephone_number": "716-826-7000",
"fax_number": "716-213-0348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DVORETSKY",
"first_name": "PHILIP",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "NY",
"license": "137783",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NY",
"license": "137783",
"primary": true
}
],
"identifiers": [],
"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 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.