Active NPI
Buffalo Niagara Plastic Surgery PLLC
- Specialist
- Niagara Falls, NY
National Provider Identifier
1972603033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 152856
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00755784 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
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- Claremont, CA
- NPI 1578547519
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.