NPIMap

Organization Active NPI

Lenahan Dermatology PLLC

  • Dermatology Physician
  • East Amherst, NY
National Provider Identifier
1871087221
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
153466-1 Issued in NY
Legal business name
LENAHAN DERMATOLOGY PLLC
Practice address
6507 Transit Rd Ste a
East Amherst, NY 14051-1427
Phone
(716) 689-4377
Fax
(716) 689-4377
NPI assigned
Jun 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Authorized official

Name
Andrew GaddiNPI 1932858271
Title
Office Manager
Phone
(716) 689-4377

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 153466-1 NY Primary

Addresses

Primary practice location

6507 Transit Rd Ste a
East Amherst, NY 14051-1427

Mailing address

6507 Transit Rd Ste a
East Amherst, NY 14051-1427
Phone (716) 689-4377

Other practice location 1

2900 Main St
Buffalo, NY 14214-1718
Phone (716) 689-4377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181120000241 NY Part B Supplier - Clinic/Group Practice 0143574608 Receives reassigned benefits from 7 practitioners
Practice locations: Buffalo, NY; East Amherst, NY

National Provider Directory

National Provider Directory

Locations

6507 Transit Rd
#A
East Amherst, NY 14051
Phone (716) 689-4377

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1871087221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 TRANSIT RD STE A",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511427",
            "telephone_number": "716-689-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 TRANSIT RD STE A",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511427",
            "telephone_number": "716-689-4377",
            "fax_number": "716-689-4377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Main St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142141718",
            "country_code": "US",
            "telephone_number": "716-689-4377",
            "fax_number": "716-689-4843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LENAHAN DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "GADDI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-689-4377"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "153466-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.