NPIMap

Organization Active NPI

Abbott Anesthesiologist Associates PC

  • Specialist
  • Buffalo, NY
National Provider Identifier
1902025513
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ABBOTT ANESTHESIOLOGIST ASSOCIATES PC
Practice address
565 Abbott Rd
Buffalo, NY 14220-2039
Phone
(716) 826-6628
Fax
(716) 828-3448
NPI assigned
Apr 24, 2007
Last updated
Aug 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Authorized official

Name
Mrs. Pat Jarmuz
Title
Office Manager
Phone
(716) 826-6628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

565 Abbott Rd
Buffalo, NY 14220-2039

Mailing address

515 Abbott Rd
Suite 410
Buffalo, NY 14220-1700
Phone (716) 826-6628

Other identifiers 14

IdentifierTypeStateIssuer
1588637680OtherNYGEORGE H. BANCROFT
1912973629OtherNYNISHI HARVEY
1356314470OtherNYBAL K. KAOUR
1528031622OtherNYSIVA KRISH
1922071026OtherNYGREGORY V. TOBIAS
1003889106OtherNYSALVATORE J. PARLATO
1083688170OtherNYLAKSHMANA RAO KONERU
1225002405OtherNYASHOK NYLAKONDA
1548233646OtherNYGEORGE TURCO
1801869938OtherNYSTEPHEN C. GLADYSZ
1487627584OtherNYKENYON W. JONES
1306819313OtherNYSTEVEN MOSHIDES
1467425199OtherNYIRIS M. HUDSON
1508839580OtherNYDAVID F. MANGAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040717000164 NY Part B Supplier - Clinic/Group Practice 5991784449 Receives reassigned benefits from 37 practitioners
Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory

Locations

515 Abbott Rd
Ste 410
Buffalo, NY 14220
Phone (716) 826-6628

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1902025513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ABBOTT RD",
            "address_2": "SUITE 410",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201700",
            "telephone_number": "716-826-6628",
            "fax_number": "716-828-3448"
        },
        {
            "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": "716-826-6628",
            "fax_number": "716-828-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBOTT ANESTHESIOLOGIST ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "JARMUZ",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-826-6628",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGE H. BANCROFT",
            "identifier": "1588637680",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NISHI HARVEY",
            "identifier": "1912973629",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BAL K. KAOUR",
            "identifier": "1356314470",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIVA KRISH",
            "identifier": "1528031622",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREGORY V. TOBIAS",
            "identifier": "1922071026",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SALVATORE J. PARLATO",
            "identifier": "1003889106",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAKSHMANA RAO KONERU",
            "identifier": "1083688170",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHOK NYLAKONDA",
            "identifier": "1225002405",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGE TURCO",
            "identifier": "1548233646",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEPHEN C. GLADYSZ",
            "identifier": "1801869938",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENYON W. JONES",
            "identifier": "1487627584",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEVEN MOSHIDES",
            "identifier": "1306819313",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRIS M. HUDSON",
            "identifier": "1467425199",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVID F. MANGAN",
            "identifier": "1508839580",
            "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 Aug 23, 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.