BUFFALO MEDICAL GROUP, PC
NPI 1467095802
Non-Pharmacy Dispensing Site in Lockport, NY

Active since October 17, 2019CLIA 33D2281302 · Waiver
16 DAVISON CT, LOCKPORT, NY 14094(716) 630-1000 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 21, 2019, Oct 17, 2019 (2 updates tracked since 2019).

About Buffalo Medical Group, Pc NPPES

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

BUFFALO MEDICAL GROUP, PC (NPI 1467095802) is a healthcare organization registered as a non-pharmacy dispensing site in Lockport, New York and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through May 3, 2027 and lists Daniel Scully, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467095802
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameBUFFALO MEDICAL GROUP, PC
Location Address16 DAVISON CTLockport, NY 14094-5370
Mailing Address425 Essjay Rd Ste 170Williamsville, NY 14221-8235 · (716) 630-1000
Organization SubpartNo
Authorized OfficialDaniel ScullyCeo · (716) 630-1000
Enumeration DateOctober 17, 2019
Last NPPES UpdateOctober 21, 20192 updates tracked since enumeration
NPI 1467095802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Also ListedClinic/Center · OncologyTaxonomy 261QX0200X
16 DAVISON CT, Lockport, NY 14094

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2281302

Buffalo Medical Group · Lockport, NY
Active · expires May 3, 2027
CLIA Number33D2281302
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorDr. Jacquelyn B. Jordan
Laboratory Phone(716) 630-2575
Laboratory LocationBuffalo Medical Group6950 South Transit Road, Lockport, NY 14094
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Dentist (Prosthodontics)
16 DAVISON CT
LOCKPORT, NY 14094

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 Buffalo Medical Group, PC's NPI number?

The NPI number for Buffalo Medical Group, PC is 1467095802. It was assigned to this organization in the NPPES registry on October 17, 2019.

Where is Buffalo Medical Group, PC located?

Buffalo Medical Group, PC is located at 16 Davison Ct, Lockport, NY 14094. The listed phone number is (716) 630-1000.

What is Buffalo Medical Group, PC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Buffalo Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2281302) is associated with this NPI, valid through May 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Buffalo Medical Group, PC was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.