ROSWELL PARK CANCER INSTITUTE (NPI# 1720036593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720036593 |
| Entity Type | Organization |
| Organization Name | ROSWELL PARK CANCER INSTITUTE |
| Practice Address |
Elm and Carlton St Buffalo NY 14263-0001 |
| Practice Telephone | 7168452300 |
| Mailing Telephone | 7168452300 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2015-06-15 |
| Authorized Official Name | CANDACE S JOHNSON (PRESIDENT & CEO) |
| Authorized Official Telephone | 7168452300 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02997079 | 05 |
| 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 |
| 1316292014 | Roswell Park Cancer Institute | Special Hospital | Roswell Park Cancer Institute, Elm & Carlton Street, Buffalo, NY 14263-0001 | 2012-07-18 |
| 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 |
| Street Address |
ELM AND CARLTON ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14263-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548479 | Pradeep Arora | Internal Medicine | Elm and Carlton St, Buffalo, NY 14263-0001 | 2005-06-15 |
| 1881291599 | Allison Koscak | Nurse Practitioner | Elm and Carlton St, Buffalo, NY 14263-1104 | 2020-10-06 |
| 1225646854 | Lori Ann Hinca | Nurse Practitioner | Elm and Carlton St, Buffalo, NY 14263-0001 | 2020-07-20 |
| 1750999462 | Andrea Darrall | Nurse Practitioner | Elm and Carlton St, Buffalo, NY 14263-0001 | 2020-07-20 |
| 1457971822 | Ahmed S. Elsayed | Urology | Elm and Carlton St, Buffalo, NY 14263-0001 | 2020-04-25 |
| 1194352666 | Shirley Crawley | Nurse Practitioner | Elm and Carlton St, Buffalo, NY 14263-0001 | 2020-03-25 |
| 1598391781 | Hillary Jacobson | Physical Therapist | Elm and Carlton St, Buffalo, NY 14263-0001 | 2020-03-19 |
| 1417589904 | Witness Cares, LLC | Health Maintenance Organization | Elm and Carlton St, Buffalo, NY 14263-0001 | 2020-02-12 |
| 1366092363 | Lynne Guise | Pharmacist | Elm and Carlton St, Buffalo, NY 14263-0001 | 2019-09-12 |
| 1801458278 | William Neil White | Student in an Organized Health Care Education/Training Program | Elm and Carlton St, Buffalo, NY 14263-0001 | 2019-07-05 |
| Find all providers in the same location | ||||
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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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.