Stanley Loyola Bukowski, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

163024 Issued in NY

Practice address

Wende Correctional Facility
3040 Wende Road
Alden, NY 14004-1187

Phone

(716) 937-4000

Fax

(716) 937-4244

NPI assigned

May 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Geriatric Associates, LLP

  • Geriatric Medicine (Internal Medicine) Physician
  • Williamsville, NY
  • NPI 1750348306
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922212596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WENDE CORRECTIONAL FACILITY",
            "address_2": "3040 WENDE ROAD",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041187",
            "telephone_number": "716-937-4000",
            "fax_number": "716-937-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WENDE CORRECTIONAL FACILITY",
            "address_2": "3040 WENDE ROAD",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140041187",
            "telephone_number": "716-937-4000",
            "fax_number": "716-937-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKOWSKI",
        "first_name": "STANLEY",
        "middle_name": "LOYOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "163024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreen Marie Wojton Beshures, RPH, CGP
• Erin Lee Bibler, SLP
• Ashley Lynn Bodziak, RN
• Karen Denise Boldt
• Deanna Marie Bucci, LCSW-R
• Christy N. Ratajczak, LCSW P.C.
• Mary Elizabeth Clemens, M.D.
• Amy A. Cox, CRNA
• Creighton Optical (DBA Kevin Creighton)
• Creighton Optical

• Internal Medicine Physician in Alden, NY
• Providers in Alden, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.