NPIMap

Organization Active NPI

Silk Skin Inc,

  • Plastic Surgery Physician
  • Buffalo, NY
National Provider Identifier
1891992939
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
120905 Issued in NY
Legal business name
SILK SKIN INC,
Practice address
4 Cazenovia St
Buffalo, NY 14220-1706
Phone
(716) 826-4800
NPI assigned
Jul 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Kulwant Bhangoo, MDNPI 1023112018
Title
Physician
Phone
(716) 826-4800

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 120905 NY Primary

Addresses

Primary practice location

4 Cazenovia St
Buffalo, NY 14220-1706

Mailing address

4 Cazenovia St
Buffalo, NY 14220-1706
Phone (716) 826-4800

Other identifiers 2

IdentifierTypeStateIssuer
000506570005OtherNYBLUE CROSS
1301314OtherNYINDEPENDENT HEALTH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1891992939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CAZENOVIA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201706",
            "telephone_number": "716-826-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CAZENOVIA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201706",
            "telephone_number": "716-826-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILK SKIN INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "BHANGOO",
        "authorized_official_first_name": "KULWANT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "716-826-4800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "120905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000506570005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1301314",
            "state": "NY"
        }
    ],
    "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 Mar 12, 2009; 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.