Organization Active NPI

Buffalo Spine Surgery, PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Lockport, NY
National Provider Identifier
1932392412
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
196141-1 Issued in NY
Legal business name
BUFFALO SPINE SURGERY, PLLC
Practice address
46 Davison CT
Lockport, NY 14094-5370
Phone
(716) 438-2973
Fax
(716) 438-9267
NPI assigned
Aug 20, 2007
Last updated
Oct 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Dr. Andrew Cappuccino, MDNPI 1053318519
Title
Owner
Phone
(716) 438-2973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 196141-1 NY Primary

Addresses

Primary practice location

46 Davison CT
Lockport, NY 14094-5370

Mailing address

46 Davison CT
Lockport, NY 14094-5370
Phone (716) 438-2973

Other identifiers 1

IdentifierTypeStateIssuer
005233405OtherNYBLUE CROSS OF WNY

National Provider Directory

National Provider Directory

Locations

46 Davison Ct
Lockport, NY 14094
Phone (716) 438-2973

Practitioners & affiliated clinicians

Practitioners 4

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": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1932392412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 DAVISON CT",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945370",
            "telephone_number": "716-438-2973",
            "fax_number": "716-438-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 DAVISON CT",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945370",
            "telephone_number": "716-438-2973",
            "fax_number": "716-438-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO SPINE SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "CAPPUCCINO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-438-2973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NY",
            "license": "196141-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF WNY",
            "identifier": "005233405",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.