NPIMap

Individual provider Active NPI

Maciej L Dryjski, MD PHD

  • Vascular Surgery Physician
  • Buffalo, NY
National Provider Identifier
1881604841
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
200036 Issued in NY
Practice address
100 High St
Dept of Surgery
Buffalo, NY 14203-1126
Phone
(716) 859-4223
Fax
(716) 859-4222
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 200036 NY Primary

Addresses

Primary practice location

100 High St
Dept of Surgery
Buffalo, NY 14203-1126

Mailing address

PO Box 8000 Dept 313
University at Buffalo Surgeons Inc
Buffalo, NY 14267-0002
Phone (716) 888-4889

Other identifiers 1

IdentifierTypeStateIssuer
01570465MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000658 NY Practitioner - Vascular SurgeryPractitioner - General Surgery 9436120714 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University at Buffalo Surgeons IncGroup PAC ID 4183612799, 40 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-5600

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Niagara Falls Memorial Medical Center Hospital, Niagara Falls, NY, CCN 330065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health CurrentSince Feb 3, 2019 Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
University at Buffalo Surgeons Inc CurrentSince Oct 1, 2002 Accepting new patients
Kaleida Health Current Accepting new patients
Vascular-Interventional Associates, P.C. CurrentSince Jun 25, 2018 Accepting new patients
Kaleida Health CurrentSince Feb 3, 2019 Accepting new patients
Academic Medicine Services, Inc. Past Accepting new patients
General Physician, PC PastSince Jun 6, 2017 Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

100 High St
Fl 7
Buffalo, NY 14203
Phone (716) 898-6515

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

6337 Transit Rd
Depew, NY 14043
Phone (716) 852-1977

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

111 N Maplemere Rd
Ste 150
Williamsville, NY 14221
Phone (716) 626-2644

Interoperability endpoints

  • Direct secure messaging: maciejdryjski@ubmd.allscriptsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1881604841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8000 DEPT 313",
            "address_2": "UNIVERSITY AT BUFFALO SURGEONS INC",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142670002",
            "telephone_number": "716-888-4889",
            "fax_number": "716-849-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGH ST",
            "address_2": "DEPT OF SURGERY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031126",
            "telephone_number": "716-859-4223",
            "fax_number": "716-859-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRYJSKI",
        "first_name": "MACIEJ",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "200036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01570465",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.