Organization Active NPI

Jaffri Medical Associates L.L.C.

  • Psychiatry Physician
  • Amherst, NY
National Provider Identifier
1962514463
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
110810-1 Issued in NY
Legal business name
JAFFRI MEDICAL ASSOCIATES L.L.C.
Practice address
2800 Sweet Home Rd
Ste 8
Amherst, NY 14228-1300
Phone
(716) 691-0639
Fax
(716) 691-0410
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Syed S Jaffri, MDNPI 1053369199
Title
Primary Partner
Phone
(716) 691-0639

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 110810-1 NY Primary

Addresses

Primary practice location

2800 Sweet Home Rd
Ste 8
Amherst, NY 14228-1300

Mailing address

2800 Sweet Home Rd
Ste 8
Amherst, NY 14228-1300
Phone (716) 691-0639

Other identifiers 1

IdentifierTypeStateIssuer
00613570MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070212000547 NY Part B Supplier - Clinic/Group Practice 1355343880 Receives reassigned benefits from 4 practitioners
Practice locations: Amherst, NY; Buffalo, NY

National Provider Directory

National Provider Directory

Locations

1263 Delaware Ave
Buffalo, NY 14209
Phone (716) 219-3636

2800 Sweet Home Rd
Ste 8
Buffalo, NY 14228
Phone (716) 479-5304

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962514463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SWEET HOME RD",
            "address_2": "STE 8",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281300",
            "telephone_number": "716-691-0639",
            "fax_number": "716-691-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SWEET HOME RD",
            "address_2": "STE 8",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281300",
            "telephone_number": "716-691-0639",
            "fax_number": "716-691-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAFFRI MEDICAL ASSOCIATES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAFFRI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRIMARY PARTNER",
        "authorized_official_telephone_number": "716-691-0639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "110810-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00613570",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.