BUFFALO SUBURBAN I.D., INC. (NPI# 1235327834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235327834 |
| Entity Type | Organization |
| Organization Name | BUFFALO SUBURBAN I.D., INC. |
| Practice Address |
2914 Elmwood Ave Suite 2 Kenmore NY 14217-1332 |
| Mailing Address |
67 Main Street Hamburg NY 14075-4904 |
| Practice Telephone | 7164476903 |
| Mailing Telephone | 7166490887 |
| Mailing Fax Number | 7166464611 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2008-02-21 |
| Authorized Official Name | KEDARNATH JAVALY (OWNER) |
| Authorized Official Telephone | 7164476903 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
164017 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BLUE CROSS | 000528147003 | 01 |
| NY | INDEPENDENT HEALTH | 3412917 | 01 |
| NY | RAILROAD MEDICARE | DG5745 | 01 |
| NY | UNIVERA | 00027194102 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BUFFALO SUBURBAN I.D., INC. | 6 Harvard Street, Garden City, Ny 11530 |
| Street Address |
2914 ELMWOOD AVE SUITE 2 |
| City | KENMORE |
| State | NY |
| Zip Code | 14217-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881687358 | David A Silverstein | Family Medicine | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2005-08-30 |
| 1770938383 | Julie K Baudo | Dietitian, Registered | 2914 Elmwood Ave, Kenmore, NY 14217 | 2016-05-02 |
| 1710345343 | Kenmore Family Medicine | Dietitian, Registered | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2016-02-10 |
| 1740627942 | Paul Campana | Family Medicine | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2013-05-29 |
| 1043503246 | Jonathan D Kessler | Family Medicine | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2011-05-20 |
| 1275794554 | Kalyan K Shastri | Psychiatry & Neurology | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2008-06-19 |
| 1962682518 | Comprehensive Family Care, Pllc | Family Medicine | 2914 Elmwood Ave, Suite #2, Kenmore, NY 14217-1332 | 2007-11-13 |
| 1124119029 | Kenmore Family Medicine, LLP | Family Medicine | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2006-09-27 |
| 1639113129 | Elizabeth Certo | Physician Assistant | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2006-06-15 |
| 1710921200 | Lynda Erick | Nurse Practitioner | 2914 Elmwood Ave, Kenmore, NY 14217-1332 | 2006-06-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585201 | Emma Rae Rooney | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave., Kenmore, NY 14217 | 2019-12-11 |
| 1558801530 | Elizabeth Fazio | Local Education Agency (LEA) | 3767 Delaware Ava, Kenmore, NY 14217 | 2017-02-24 |
| 1477940393 | Laura Sabia | Case Manager/Care Coordinator | 2900 Deleware Avenue, Kenmore, NY 14217 | 2015-04-17 |
| 1770994881 | Kenmore Family Medicine | Family Medicine | 2914 Elmwood Avenue, Kenmore, NY 14217 | 2014-05-12 |
| 1144576265 | Elizabeth Anne Leiser | Nurse Practitioner | 274 W Girard Blvd, Kenmore, NY 14217 | 2012-07-26 |
| 1730442385 | Christopher Landeo | Case Manager/Care Coordinator | 2900 Delaware Avenue, Kenmore, NY 14217 | 2012-06-19 |
| 1013291095 | Sharon Karnyski | Physical Therapist | 2900 Delaware Avenu, Kenmore, NY 14217 | 2011-10-07 |
| 1164706784 | Joanne Karen Cascio | Registered Nurse | 3756 Delaware Avenue, Kenmore, NY 14217 | 2011-09-30 |
| 1467742692 | Nicole Anne Perrotta | Occupational Therapy Assistant | 3767 Delaware Avenue, Kenmore, NY 14217 | 2011-04-08 |
| 1538466511 | Diane J. Sutter, M.d., LLC | Obstetrics & Gynecology | 3800 Delaware Avenue, Suite 102, Kenmore, NY 14217 | 2011-02-28 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376501023 | Kedarnath Javaly | Internal Medicine | 2914 Elmwood Ave, Suite 2, Kenmore, NY 14217-1332 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421801 | Andrea Low | Internal Medicine | 215 W 125th St Rm 302, New York, NY 10027-4426 | 2020-09-09 |
| 1114551827 | Steven Neal Miller | Internal Medicine | 29 Blair Dr, Huntington, NY 11743-2465 | 2020-03-03 |
| 1871123703 | Walter Ian Lipkin | Internal Medicine | 722 W 168th St Fl 17, New York, NY 10032-3727 | 2020-01-20 |
| 1033776307 | Debra K Strauss Md | Internal Medicine | 11 Medical Park Dr Ste 206, Pomona, NY 10970-3560 | 2019-05-22 |
| 1124590559 | Berman Infectious Disease Consultant PC | Internal Medicine | 25 Carlisle Rd, New Rochelle, NY 10804-3801 | 2018-12-25 |
| 1558838482 | Infectious Disease Consultant of Rockland, P.C. | Internal Medicine | 259 N Middletown Rd Ste 1b, Nanuet, NY 10954-1220 | 2018-10-29 |
| 1528512894 | Cordial Medical, P.C. | Internal Medicine | 100 Broadhollow Rd Ste 106, Farmingdale, NY 11735-4813 | 2016-08-04 |
| 1033508205 | Ayuda Medical, Pllc | Internal Medicine | 54 Sunrise Dr, Lynbrook, NY 11563-2920 | 2015-01-12 |
| 1659777449 | Joseph Michael Feczko | Internal Medicine | 234 E 49th St, New York, NY 10017-1502 | 2014-11-06 |
| 1669873402 | Joel Ackelsberg | Internal Medicine | 4209 28th St # Cn-22a, Long Island City, NY 11101-4130 | 2014-09-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.