1922382068 NPI number — JOHN J CAI, MD, PLLC

Table of content: (NPI 1922382068)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922382068 NPI number — JOHN J CAI, MD, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOHN J CAI, MD, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1922382068
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/17/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1008
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BUFFALO
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14220-8008
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-844-8754
Provider Business Mailing Address Fax Number:
716-240-9366

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
515 ABBOTT RD
Provider Second Line Business Practice Location Address:
SUITE 310
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14220-1700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-844-8754
Provider Business Practice Location Address Fax Number:
716-240-9366
Provider Enumeration Date:
10/07/2011

Additional Information

Authorized Official

Authorized Official Last Name:
CAI
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
716-790-1473

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  238954 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0001X , with the licence number: 238954 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 02733324 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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