PEDIATRIC UROLOGY OF WESTERN NEW YORK P C – NPI #1104962737
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

PEDIATRIC UROLOGY OF WESTERN NEW YORK P C is an urologist located in BUFFALO, NY. NPPES has assigned the NPI number 1104962737 to PEDIATRIC UROLOGY OF WESTERN NEW YORK P C on January 30, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 6 years ago on Apr 20, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEDIATRIC UROLOGY OF WESTERN NEW YORK P C below.

NPI Profile for
PEDIATRIC UROLOGY OF WESTERN NEW YORK P C

NPI Number
1104962737
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEDIATRIC UROLOGY OF WESTERN NEW YORK P C
Primary location
100 HIGH ST, #C2
BUFFALO, NY 14203
Phone: (716) 859-7978 Fax:
Mailing address
65 LEBRUN CIRCLE
EGGERTSVILLE, NY 14226-4120
Phone: (716) 878-7393 Fax: (716) 878-7096
Organization Subpart
No
Authorized Official
PIERRE WILLIOT
PHYSICIAN
Phone: (716) 859-7978
Updated
Certification Date
Apr 20, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PEDIATRIC UROLOGY OF WESTERN NEW YORK P C

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY01376347
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)
NY 231942
2088P0231X
- Urology / Pediatric Urology
NY 141541

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.