1346758679 NPI number — MATTHEW J INSLEY PA

Table of content: MATTHEW J INSLEY PA (NPI 1346758679)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346758679 NPI number — MATTHEW J INSLEY PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
INSLEY
Provider First Name:
MATTHEW
Provider Middle Name:
J
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346758679
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/23/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3041 ORCHARD PARK RD
Provider Second Line Business Mailing Address:
STE C
Provider Business Mailing Address City Name:
ORCHARD PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14127-1238
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-674-3104
Provider Business Mailing Address Fax Number:
716-674-0666

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6420 TRANSIT RD STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DEPEW
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14043-1033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-845-1600
Provider Business Practice Location Address Fax Number:
716-242-0201
Provider Enumeration Date:
01/22/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 05061234 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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