Active NPI
Buffalo Medical Group, PC
- Durable Medical Equipment & Medical Supplies
- Williamsville, NY
National Provider Identifier
1992271365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BUFFALO MEDICAL GROUP, PC
- Practice address
- 295 Essjay Rd
Williamsville, NY 14221-8216 - Phone
- (716) 630-1000
- NPI assigned
- Oct 23, 2018
- 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
- Daniel Scully
- Title
- Ceo
- Phone
- (716) 630-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
295 Essjay Rd
Williamsville, NY 14221-8216
Mailing address
425 Essjay Rd Ste 170
Williamsville, NY 14221-5782
Phone (716) 630-1219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181029000165 | NY | DME Supplier - Physician - General Practice | 7012820301 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lockport, NY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Lockport, NY
- NPI 1982566782
O20181029000165
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540771200000",
"number": "1992271365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ESSJAY RD STE 170",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215782",
"telephone_number": "716-630-1219",
"fax_number": "716-817-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 ESSJAY RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218216",
"telephone_number": "716-630-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUFFALO MEDICAL GROUP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-23",
"last_updated": "2018-10-29",
"status": "A",
"authorized_official_last_name": "SCULLY",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "716-630-2500"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
- Buffalo Medical Group, P.C.
- Buffalo Medical Group, PC
- Buffalo Medical Group, PC
- Buffalo Medical Group, PC
- Buffalo Medical Group, PC
- Buffalo Neuromusculoskeletal Medicine PLLC
- Buffalo Neurosurgery P.C.
- Buffalo Niagara Endodontics, P.C.
- Buffalo Niagara Music Therapy Services, LLC
- Buffalo Niagara Retina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.