University at Buffalo Pediatric Associates Inc

Organization Active NPI Pediatrics Physician · Buffalo, NY

NPI 1912928599 · NPPES record last updated Nov 28, 2023

Key facts

NPI
1912928599
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 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
Organization subpart
No

Authorized official

Name
Mrs. Laurie Jasin
Title
Credentialing Specialist
Phone
(716) 323-0225

Practitioners 356

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 356

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

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

Locations

1404 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 932-6060

1840 Maple Rd
Buffalo, NY 14221

181 Ellicott St
Fl 4
Buffalo, NY 14203

1031 Michigan Ave
Buffalo, NY 14203
Phone (716) 686-8460

461 William St
Ste 5
Buffalo, NY 14204

1001 Main St
Fl 5
Buffalo, NY 14203
Phone (716) 323-0031

1400 Sweet Home Rd
Ste 5
Buffalo, NY 14228
Phone (716) 691-6283

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

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

4535 Southwestern Blvd
Ste 805
Hamburg, NY 14075
Phone (716) 648-8700

4535 Southwestern Blvd
Ste 712
Hamburg, NY 14075

25 E Main St
Springville, NY 14141
Phone (716) 592-2832

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X Yes

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

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

Other practice location 2

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

Other practice location 3

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

Other practice location 4

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

Other identifiers

IdentifierTypeStateIssuer
00718052MedicaidNY

Other providers in Buffalo, NY

All providers in Buffalo, NY · Pediatrics Physician in New York

Sources for this page

Verify at the official NPI Registry.