Provider Demographics
NPI:1326034927
Name:BUDZINSKI, JOHN MARION (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MARION
Last Name:BUDZINSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:85 WEHRLE DR
Mailing Address - Street 2:STE 6
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-1061
Mailing Address - Country:US
Mailing Address - Phone:716-834-9472
Mailing Address - Fax:716-834-7061
Practice Address - Street 1:85 WEHRLE DR
Practice Address - Street 2:STE 6
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-1061
Practice Address - Country:US
Practice Address - Phone:716-834-9472
Practice Address - Fax:716-834-7061
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-20
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0934991207VG0400X
TXE3866207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0010022301OtherUNIVERA
040426000181OtherFIDELIS CARE NY
160958245OtherAETNA
162821103OtherMEDICARE RAILROAD
000502210001OtherBLUE CROSS BLUE SHIELD OF
0701030OtherMEDISOURCE
160958245OtherCIGNA
000502210003OtherBLUE CROSS BLUE SHIELD OF
0010022301OtherNORTH AMERICA UNIVERA SOU
0049605OtherGROUP HEALTH INS
NY00668364Medicaid
0701030OtherINDEPENDENT HEALTH
00010057102OtherRMSCO
0591100001OtherMEDICARE DME
0010022301OtherUNIVERA PPO
0701030OtherCOORDINATED BENEFITS
0701030OtherINDEPENDENT HEALTH
B35650Medicare UPIN
160958245OtherAETNA
0010022301OtherNORTH AMERICA UNIVERA SOU