ROSWELL PARK CANCER INSTITUTE (NPI# 1316292014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316292014 |
| Entity Type | Organization |
| Organization Name | ROSWELL PARK CANCER INSTITUTE |
| Practice Address |
Roswell Park Cancer Institute Elm & Carlton Street Buffalo NY 14263-0001 |
| Mailing Address |
275b Evans St Apt # 6 Williamsville NY 14221-5666 |
| Practice Telephone | 7168454101 |
| Practice Fax Number | 7168453423 |
| Mailing Telephone | 5073191774 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |
| Authorized Official Name | THANYANAN REUNGWETWATTANA (FELLOW) |
| Authorized Official Telephone | 5073191774 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | NY | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154702330 | Roswell Park Cancer Institute | Special Hospital | 16 George Ave, Peabody, MA 01960-2604 | 2015-06-14 |
| 1881038743 | Roswell Park Cancer Institute | Special Hospital | Carlton Building, Elm and Carlton Street, Buffalo, NY 14263-0001 | 2013-04-23 |
| 1821252115 | Roswell Park Cancer Institute | Special Hospital | Roswell Park Cancer Institute Dept Of, Elm & Carlton Streets, Buffalo, NY 14263-0001 | 2008-07-15 |
| 1588186522 | Roswell Park Cancer Institute | Clinic/Center | Elm and Carlton St, Buffalo, NY 14263-0001 | 2017-07-12 |
| 1548597198 | Roswell Park Cancer Institute | General Acute Care Hospital | Elm and Carlton St, Buffalo, NY 14263-0001 | 2009-11-03 |
| 1548315401 | Roswell Park Cancer Institute | General Acute Care Hospital | Elm and Carlton St, Buffalo, NY 14263 | 2007-01-23 |
| 1689775462 | Roswell Park Cancer Institute | Special Hospital | Elm and Carlton St, Buffalo, NY 14263-0001 | 2006-09-26 |
| 1720036593 | Roswell Park Cancer Institute | Clinic/Center | Elm and Carlton St, Buffalo, NY 14263-0001 | 2006-05-04 |
| Street Address |
ROSWELL PARK CANCER INSTITUTE ELM & CARLTON STREET |
| City | BUFFALO |
| State | NY |
| Zip Code | 14263-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023174588 | Mollie K Hutton | Genetic Counselor, MS | Roswell Park Cancer Institute, Elm & Carlton Streets, Buffalo, NY 14263-0001 | 2006-12-29 |
| 1063896512 | Jeffrey Baron | Pharmacist | Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2015-07-15 |
| 1033510987 | Allison Maciver | Student in an Organized Health Care Education/Training Program | Roswell Park Cancer Institute, Elm and Carleton Streets, Buffalo, NY 14263-0001 | 2014-09-10 |
| 1629400205 | Tareq Mohammed Altartir | Student in an Organized Health Care Education/Training Program | Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2013-08-06 |
| 1922348267 | Hana Kim Choi | Psychologist | Roswell Park Cancer Institute, Elm & Carlton Streets, Buffalo, NY 14263-0001 | 2013-02-24 |
| 1730423807 | Thanyanan Reungwetwattana | Specialist | Roswell Park Cancer Institute, Elm & Carlton Streets, Buffalo, NY 14263-0001 | 2012-11-15 |
| 1053602201 | Yousef Soofi | Student in an Organized Health Care Education/Training Program | Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2011-04-22 |
| 1124292099 | John A. Brach, Md, PC | Family Medicine | Roswell Park Cancer Institute, Elm and Carlton St, Buffalo, NY 14263-0001 | 2008-04-22 |
| 1639398837 | Anjana Elefante | Pharmacist | Roswell Park Cancer Institute, Elm & Carlton St., Buffalo, NY 14263-0001 | 2007-04-25 |
| 1831222868 | Peter Francis Bialy | Pharmacist | Roswell Park Cancer Institute, Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2007-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321168 | Fernando Andres Angarita Celis | Surgery | Rosuell Park Comprehensive Cancer Center / Elm & Carlto, Streets / Scott Bieler Clinical Services Center 6th Fl, Buffalo, NY 14263 | 2020-09-23 |
| 1972074797 | Roswell Park Pharmacy Corporation | Pharmacy | Elm & Carlton Sts., Buffalo, NY 14263 | 2018-12-06 |
| 1235617861 | Heather Marie Poushay | Student in an Organized Health Care Education/Training Program | 665 Elm Street Roswell Park Comprehensive Cancer Canter, Attn Michelle Rotella, Buffalo, NY 14263 | 2018-08-06 |
| 1205212594 | Neelam Sandhu | Student in an Organized Health Care Education/Training Program | Elm & Carlton Streets Oncological Surgical Pathology, Roswell Park Cancer Institute, Buffalo, NY 14263 | 2015-08-10 |
| 1629413265 | Ivan Walter Cohen | Anesthesiology | Roswell Park Comprehensive Cancer Center, Elm and Carlton Streets, Buffalo, NY 14263 | 2013-05-09 |
| 1811243041 | Priyanka Maridhi Nanjireddy | Pediatrics | Roswell Park/oishei Children's Cancer and Blood Disorde, 685 Elm Street, Buffalo, NY 14263 | 2012-07-25 |
| 1760552699 | Mohamed Mokhtar El Sayed Desouki | Pathology | Elm & Carlton Streets, Buffalo, NY 14263 | 2006-11-08 |
| 1851948194 | Jamie Kerner | Nurse Practitioner | Elm & Carlton Streets, Buffalo, NY 14263 | 2019-08-21 |
| 1598223984 | Missy Gray Dishman | Family Medicine | Elm and Carlton Streets, Buffalo, NY 14263 | 2019-03-05 |
| 1851856967 | Emily Taylor Haas | Nurse Practitioner | Elm & Carlton Streets, Buffalo, NY 14263 | 2019-02-02 |
| Find all providers in zip 14263 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881038743 | Roswell Park Cancer Institute | Special Hospital | Carlton Building, Elm and Carlton Street, Buffalo, NY 14263-0001 | 2013-04-23 |
| 1649401381 | Gurpreet Singh | Special Hospital | 426 Grider Street, Buffalo, NY 14215 | 2009-07-29 |
| 1619131968 | Osama M Al-agha | Special Hospital | Roswell Park Cancer Institute Pathology Dept, Elm 7 Carlton Streets, Buffalo, NY 14263-0001 | 2008-07-16 |
| 1821252115 | Roswell Park Cancer Institute | Special Hospital | Roswell Park Cancer Institute Dept Of, Elm & Carlton Streets, Buffalo, NY 14263-0001 | 2008-07-15 |
| 1801122072 | Suny Buffalo | Special Hospital | 3435 Main St., 105 Parker Hall, Buffalo, NY 14214 | 2009-10-23 |
| 1184774226 | Kaleida Health | Special Hospital | 219 Bryant St, Buffalo, NY 14222-2006 | 2007-01-11 |
| 1689775462 | Roswell Park Cancer Institute | Special Hospital | Elm and Carlton St, Buffalo, NY 14263-0001 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285173716 | Memorial Sloan Kettering Cancer Center | Special Hospital | 117 Hartford Ave, Staten Island, NY 10310-3111 | 2017-02-16 |
| 1083151096 | Ori Barzilai | Special Hospital | 170 Amsterdam Ave Apt 16a, New York, NY 10023-5073 | 2017-01-28 |
| 1619412822 | Alison Beaulieu | Special Hospital | 716 Harry L Dr, Johnson City, NY 13790-1119 | 2016-12-23 |
| 1740735216 | Kate Anne Harrington | Special Hospital | Nyu Langone Orthopedic Center, 333 E 38th St, New York, NY 10016 | 2016-08-24 |
| 1083067391 | Hamish Alexander | Special Hospital | 250 E 77th St, Apt 1a, New York, NY 10075-2131 | 2016-07-21 |
| 1184087074 | Instacareems | Special Hospital | 688 Crescent Street, Brooklyn, NY 11208 | 2016-03-30 |
| 1992177497 | Giuseppe Galea | Special Hospital | 5700 Arlington Ave Apt 20u, Bronx, NY 10471-1523 | 2015-10-22 |
| 1508279936 | Nyu Hospital for Joint Diseases | Special Hospital | 15139 12th Ave, Whitestone, NY 11357-1829 | 2014-06-03 |
| 1508287384 | New York State Department of Correctional Services | Special Hospital | 247 Harris Rd, Bedford Hills, NY 10507-2418 | 2013-12-23 |
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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.