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1174530299 NPI number — DR. ROMANTH WAGHMARAE

NPI Number: 1174530299
Health Care Provider/Practitioner: DR. ROMANTH WAGHMARAE

Information about “1174530299” NPI (DR. ROMANTH WAGHMARAE) exists in 1174530299 in HTML format HTML  |  1174530299 in plain Text format TXT  |  1174530299 in PDF (Portable Document Format) PDF  |  1174530299 in an XML format XML  formats.

NPI Number : 1174530299 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174530299",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WAGHMARAE",
    "FirstName": "ROMANTH",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6245 SHERIDAN DR",
    "SecondLineMailingAddress": "SUITE 116",
    "MailingAddressCityName": "WILLIAMSVILLE",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "14221-4834",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "716-505-1500",
    "MailingAddressFaxNumber": "716-408-3210",
    "FirstLinePracticeLocationAddress": "5893 CAMP RD STE 3",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAMBURG",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "14075-4470",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "716-257-1254",
    "PracticeLocationAddressFaxNumber": "716-215-6170",
    "EnumerationDate": "08/02/2006",
    "LastUpdateDate": "09/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": "171388",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207LP2900X",
          "TaxonomyName": "Pain Medicine (Anesthesiology) Physician",
          "LicenseNumber": "171388",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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