WILLIAMSVILLE PEDIATRIC CENTER (NPI# 1114014826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114014826 |
| Entity Type | Organization |
| Organization Name | WILLIAMSVILLE PEDIATRIC CENTER |
| Practice Address |
6333 Main St Williamsville NY 14221-5800 |
| Practice Telephone | 7166313510 |
| Practice Fax Number | 7166319627 |
| Mailing Telephone | 7166313510 |
| Mailing Fax Number | 7166319627 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. REBECCA MOLNAR (ADMINISTRATIVE PARTNER) |
| Authorized Official Telephone | 7166313510 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
6333 MAIN ST |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841226 | Maureen K Lundergan | Ophthalmology | 6333 Main St, Williamsville, NY 14221-5800 | 2005-06-16 |
| 1326318619 | Barry T. Malin Md, PC | Urology | 6333 Main St, Williamsville, NY 14221-5800 | 2012-01-04 |
| 1750509170 | Jonathan C. Reynhout, M.d.p.c. | Surgery | 6333 Main St, Williamsville, NY 14221-5800 | 2007-04-23 |
| 1659440345 | Errol S Daniels | Optometrist | 6333 Main St, Williamsville, NY 14221-5800 | 2006-11-07 |
| 1609980879 | Ophthalmology Assoc of Wny | Ophthalmology | 6333 Main St, Williamsville, NY 14221-5800 | 2006-08-17 |
| 1790795433 | Deepan Selvadurai | Ophthalmology | 6333 Main St, Williamsville, NY 14221-5800 | 2006-08-08 |
| 1619983434 | Erica Ann Patino | Nurse Practitioner | 6333 Main St, Suite 2, Williamsville, NY 14221-5800 | 2006-08-01 |
| 1013922723 | Prashula Ellsworth | Physician Assistant | 6333 Main St, Suite 2, Williamsville, NY 14221-5800 | 2006-07-30 |
| 1124060918 | Barry T Malin | Urology | 6333 Main St, Williamsville, NY 14221-5800 | 2006-06-13 |
| 1326098112 | Donald F Switzer | Internal Medicine | 6333 Main St, Suite 2, Williamsville, NY 14221-5800 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306819529 | Raphael P. Wang | Pediatrics | 2733 Wehrle Dr., Suite 100, Williamsville, NY 14221 | 2006-02-08 |
| 1700858313 | Rebecca Daniels | Pediatrics | 2733 Wehrle Dr, Suite 100, Williamsville, NY 14221-7348 | 2006-02-07 |
| 1568437853 | Denise Sokolofsky | Pediatrics | 2733 Wehrle Dr., Suite 100, Williamsville, NY 14221 | 2006-02-21 |
| 1659343267 | Lynn M Taraboletti | Pediatrics | 2733 Wehrle Dr, Suite 100, Williamsville, NY 14221 | 2006-02-07 |
| 1710959333 | Jayson Roland | Pediatrics | 2733 Wehrle Dr, Suite 100, Williamsville, NY 14221 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438039 | Joanna Catherine Cross | Pediatrics | 6049 Transit Rd Ste 101, East Amherst, NY 14051-1803 | 2020-02-06 |
| 1720498306 | Ashley M Yazdani | Pediatrics | 3950 East Robinson Road, Suite 205, West Amherst, NY 14228 | 2014-05-05 |
| 1699103879 | Pediatric&adolescent Medical Care Pllc | Pediatrics | 450 76th St, Brooklyn, NY 11209-3204 | 2013-10-24 |
| 1962837377 | Mariam Machabeli | Pediatrics | 765 Grand St, Brooklyn, NY 11211-5797 | 2013-09-05 |
| 1013352392 | Pediatric Associates of Plainview | Pediatrics | 400 S Oyster Bay Rd Ste 207, Hicksville, NY 11801-3500 | 2013-05-01 |
| 1174876650 | Theodore Fink | Pediatrics | 1 Rudolph Dr, Apt. 1s, Carle Place, NY 11514-1095 | 2012-10-20 |
| 1376804096 | Melissa Ellen Dere | Pediatrics | 732 5th Ave, Brooklyn, NY 11232 | 2012-05-30 |
| 1386915544 | Marvin Lieber | Pediatrics | 58 Sycamore Cir, Stony Brook, NY 11790-3147 | 2012-01-19 |
| 1508134578 | Hicksville Pediatrics PC | Pediatrics | 535 S Broadway, Suite 1, Hicksville, NY 11801-5029 | 2011-12-06 |
| 1245523513 | Khalida Itriyeva | Pediatrics | 410 Lakeville Rd Ste 108, New Hyde Park, NY 11042 | 2011-05-19 |
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| City | WILLIAMSVILLE |
| Zip Code | 14221 |
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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.