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ALICIA ANN SUPERNAULT-SARKER MD, MPH, FAAP
NPI 1275197386
Pediatrics in Buffalo, NY

Active since April 24, 2019
1021 BROADWAY ST, BUFFALO, NY 14212(716) 529-3020 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 2, 2024, Apr 25, 2024, Apr 24, 2019 (3 updates tracked since 2019).

About Alicia Ann Supernault-sarker Md, Mph, Faap NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICIA ANN SUPERNAULT-SARKER MD, MPH, FAAP (NPI 1275197386) is an individual pediatrics provider in Buffalo, New York, licensed in New York (317030) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1275197386
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALICIA ANN SUPERNAULT-SARKERCredential: MD, MPH, FAAP
Location Address1021 BROADWAY STBuffalo, NY 14212-1460
Mailing Address1021 Broadway StBuffalo, NY 14212-1460 · (716) 529-3020 · Fax (716) 529-3040
Phone(716) 529-3020
Sole ProprietorNo
Enumeration DateApril 24, 2019
Last NPPES UpdateJuly 2, 20243 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1275197386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 317030
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1021 BROADWAY ST, Buffalo, NY 14212
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY L WYANT PA-C
Physician Assistant
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 529-2030
ALEXANDRA ISABELLA YACUB
Nurse Practitioner (Family)
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 529-3020
EDWARD REVERE
Peer Specialist
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 662-2040
SHIVANI SHASHI KUMAR NAYAK
Counselor (Mental Health)
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 348-3000
MS. CYNTHIA CATHERINE BRAUER FAMILY PEER ADVOCATE
Peer Specialist
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 886-1242
SHANAZHA C HOBBS
Social Worker
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 529-3020
LALITA LASHON ALEXANDER MSN RN FNP-C
Nurse Practitioner (Family)
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 529-3020
JULIANNA HILL
Peer Specialist
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 886-1242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alicia Supernault-sarker's NPI number?

The NPI number for Alicia Supernault-sarker is 1275197386. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Where is Alicia Supernault-sarker located?

Alicia Supernault-sarker practices at 1021 Broadway St, Buffalo, NY 14212. The listed phone number is (716) 529-3020.

What is Alicia Supernault-sarker's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Alicia Supernault-sarker was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.