Organization Active NPI

University at Buffalo Pediatric Associates Inc

  • Pediatrics Physician
  • Buffalo, NY
National Provider Identifier
1912928599
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
UNIVERSITY AT BUFFALO PEDIATRIC ASSOCIATES INC
Practice address
1001 Main St FL 4
Buffalo, NY 14203-1009
Phone
(716) 323-0225
Fax
(716) 323-0293
NPI assigned
Jul 21, 2006
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Miss Michelle Wenzel
Title
Credentialing Specialist
Phone
(716) 323-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1001 Main St FL 4
Buffalo, NY 14203-1009

Mailing address

1001 Main St FL 5
Buffalo, NY 14203-1009
Phone (716) 323-0600

Other practice location 1

1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3600

Other practice location 2

818 Ellicott St
Buffalo, NY 14203-1021
Phone (716) 323-2000

Other practice location 3

1031 Michigan Ave
Buffalo, NY 14203-1019
Phone (716) 748-3100

Other practice location 4

1404 Sweet Home Rd Ste 5
Amherst, NY 14228-2778
Phone (716) 639-9360

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040210000076 NY Part B Supplier - Clinic/Group Practice 1355235540 Receives reassigned benefits from 221 practitioners
Practice locations: Buffalo, NY

National Provider Directory

National Provider Directory

Locations

1404 Sweet Home Rd
Ste 56
Buffalo, NY 14228
Phone (716) 639-9361

181 Ellicott St
Buffalo, NY 14203
Phone (716) 799-9788

181 Ellicott St
Fl 4
Buffalo, NY 14203

1840 Maple Rd
Buffalo, NY 14221

3580 Sheridan Dr
Buffalo, NY 14226
Phone (716) 362-9730

461 William St
Buffalo, NY 14204
Phone (716) 852-1578

461 William St
Ste 5
Buffalo, NY 14204

4535 Southwestern Blvd
Ste 712
Hamburg, NY 14075

515 Main St
Olean, NY 14760
Phone (716) 373-2600

Practitioners & affiliated clinicians

Practitioners 356

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 356

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1912928599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST FL 5",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031009",
            "telephone_number": "716-323-0600",
            "fax_number": "716-323-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST FL 4",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031009",
            "telephone_number": "716-323-0225",
            "fax_number": "716-323-0293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 Maple Rd",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142213647",
            "country_code": "US",
            "telephone_number": "716-568-3600",
            "fax_number": "716-323-0292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "818 Ellicott St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031021",
            "country_code": "US",
            "telephone_number": "716-323-2000",
            "fax_number": "716-323-0292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031019",
            "country_code": "US",
            "telephone_number": "716-748-3100",
            "fax_number": "716-323-0296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1404 Sweet Home Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142282778",
            "country_code": "US",
            "telephone_number": "716-639-9360",
            "fax_number": "716-323-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIVERSITY AT BUFFALO PEDIATRIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "WENZEL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "716-323-0225",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 15, 2026; 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.