Organization Active NPI

Buffalo Niagara Plastic Surgery PLLC

  • Specialist
  • Niagara Falls, NY
National Provider Identifier
1972603033
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
152856 Issued in NY
Legal business name
BUFFALO NIAGARA PLASTIC SURGERY PLLC
Practice address
6932 Williams Rd
Suite 1700
Niagara Falls, NY 14304-3071
Phone
(716) 297-7040
Fax
(716) 297-7048
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Dr. Robert J Perry, MD
Title
Owner
Phone
(716) 297-7040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 152856 NY Primary

Addresses

Primary practice location

6932 Williams Rd
Suite 1700
Niagara Falls, NY 14304-3071

Mailing address

6932 Williams Rd
Suite 1700
Niagara Falls, NY 14304-3071
Phone (716) 297-7040

Other identifiers 1

IdentifierTypeStateIssuer
00755784MedicaidNY

National Provider Directory

National Provider Directory

Locations

3580 Sheridan Dr
Ste 120
Amherst, NY 14226
Phone (716) 297-7040

191 North St
Buffalo, NY 14201
Phone (716) 883-6666

6932 Williams Rd
Ste 1700
Niagara Falls, NY 14304
Phone (716) 297-7040

Practitioners & affiliated clinicians

Practitioners 1

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1972603033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6932 WILLIAMS RD",
            "address_2": "SUITE 1700",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043071",
            "telephone_number": "716-297-7040",
            "fax_number": "716-297-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6932 WILLIAMS RD",
            "address_2": "SUITE 1700",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043071",
            "telephone_number": "716-297-7040",
            "fax_number": "716-297-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO NIAGARA PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-297-7040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "152856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00755784",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.