Kenmore Nuclear Medicine PC

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

Legal business name

KENMORE NUCLEAR MEDICINE PC

Practice address

2950 Elmwood Ave
Kenmore, NY 14217-1304

Phone

(716) 447-6179

Fax

(716) 447-6251

NPI assigned

Jan 27, 2009

Last updated

Jan 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valerie V Allen

Title

Billing Office Manager

Phone

(315) 462-2633

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kwang Joo, MD

  • Nuclear Imaging & Therapy Physician
  • Kenmore, NY
  • NPI 1427013341
  NPD (past)

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1902044142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144320190",
            "telephone_number": "315-462-2633",
            "fax_number": "315-462-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171304",
            "telephone_number": "716-447-6179",
            "fax_number": "716-447-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENMORE NUCLEAR MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "315-462-2633"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nuclear Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenmore Mercy Hospital (Kenmore Specialty Center)
• Kenmore Mercy Hospital
• Kenmore Mercy Hospital
• Kenmore Mercy Hospital (Kenmore Mercy Professional Services)
• Kenmore Mercy Hospital
• Kenmore Physicians Association, LLP
• Kenmore Urgent Care PLLC
• Alison Kerling
• Nichole Kerner, PT, DPT
• Jonathan D Kessler, M.D.

• Nuclear Medicine Physician in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Nuclear Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.