NPIMap

Organization Active NPI

Carrow Street Pediatrics, PLLC

  • Pediatric Adolescent Medicine Physician
  • Orchard Park, NY
National Provider Identifier
1902098494
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
141284 Issued in NY
Legal business name
CARROW STREET PEDIATRICS, PLLC
Practice address
24 Carrow St
Orchard Park, NY 14127-2604
Phone
(716) 662-3443
Fax
(716) 662-3443
NPI assigned
Aug 17, 2007
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Dr. Steven D Weiss, MDNPI 1255393708
Title
Managing Partner
Phone
(716) 662-3443

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
Pediatric Adolescent Medicine Physician 2080A0000X 141284 NY Primary

Addresses

Primary practice location

24 Carrow St
Orchard Park, NY 14127-2604

Mailing address

24 Carrow St
Orchard Park, NY 14127-2604
Phone (716) 662-3443

Other identifiers 1

IdentifierTypeStateIssuer
03045943MedicaidNY

National Provider Directory

National Provider Directory

Locations

24 Carrow St
Orchard Park, NY 14127
Phone (716) 662-3443

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1902098494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CARROW ST",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272604",
            "telephone_number": "716-662-3443",
            "fax_number": "716-662-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CARROW ST",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272604",
            "telephone_number": "716-662-3443",
            "fax_number": "716-662-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROW STREET PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "716-662-3443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "141284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03045943",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.