State of New York Comptrollers Office

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1401226R Issued in NY

Legal business name

STATE OF NEW YORK COMPTROLLERS OFFICE

Practice address

108A Squire Hall
Buffalo, NY 14214-3008

Phone

(716) 829-2836

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Michel Harris, M.B.A

Title

Assistant Dean

Phone

(716) 829-2336

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Li

  • Oral and Maxillofacial Surgery (Dentist)
  • Staten Island, NY
  • NPI 1194344218
  NPD (past)
• Isolde Gina Rojas-Rudolph, DDS, PHD

  • Dentist
  • Buffalo, NY
  • NPI 1437647419
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1861551798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SQUIRE HALL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142148006",
            "telephone_number": "716-829-2836",
            "fax_number": "716-833-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108A SQUIRE HALL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142143008",
            "telephone_number": "716-829-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW YORK COMPTROLLERS OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHEL",
        "authorized_official_title_or_position": "ASSISTANT DEAN",
        "authorized_official_telephone_number": "716-829-2336",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.B.A"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "1401226R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01712734",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKenna Staruch, MSW
• Robert L Stasiak, D.C.
• Joseph Staszczyk
• State of New York
• State of New York
• State University of New York at Buffalo
• State University of New York at Buffalo
• Elaine Tess Stathopoulos, PHD CCC SLP
• Karen Ann Stawiasz, N.P.
• Kristin Staychock

• Dental Clinic/Center in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.