NPIMap

Organization Active NPI

Pediatric and Adolescent Urgent Care of Western New York

Doing business as Peds Urgent Care

  • Urgent Care Clinic/Center
  • Williamsville, NY
National Provider Identifier
1922300516
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
176526 Issued in NY
Legal business name
PEDIATRIC AND ADOLESCENT URGENT CARE OF WESTERN NEW YORK
Doing business as
Peds Urgent Care
Practice address
1800 Maple Rd
Suite 100
Williamsville, NY 14221-2749
Phone
(716) 636-5437
Fax
(716) 636-5439
NPI assigned
Dec 2, 2010
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Peter Grisanti
Title
Cfo
Phone
(716) 807-7435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 176526 NY Primary

Addresses

Primary practice location

1800 Maple Rd
Suite 100
Williamsville, NY 14221-2749

Mailing address

1800 Maple Rd
Suite 100
Williamsville, NY 14221-2749
Phone (716) 636-5437

Other identifiers 1

IdentifierTypeStateIssuer
01302767MedicaidNY

Other names 1

  • Peds Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric and Adolescent Urgent Care of Western New York3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6687 Pittsford Palmyra Rd
Ste 40
Fairport, NY 14450

3055 Southwestern Blvd
Ste 104
Orchard Park, NY 14127
Phone (716) 636-5437

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1922300516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MAPLE RD",
            "address_2": "SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212749",
            "telephone_number": "716-636-5437",
            "fax_number": "716-636-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MAPLE RD",
            "address_2": "SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212749",
            "telephone_number": "716-636-5437",
            "fax_number": "716-636-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND ADOLESCENT URGENT CARE OF WESTERN NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "GRISANTI",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "716-807-7435"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "176526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01302767",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peds Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peds Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.