Individual provider Active NPI

John James Lobianco, P.A.

  • Physician Assistant
  • Williamsville, NY
National Provider Identifier
1023457959
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
016605 Issued in NY
Practice address
192 Park Club Lane
Suite 100
Williamsville, NY 14221
Phone
(716) 204-1101
Fax
(716) 204-8528
NPI assigned
Jun 25, 2013
Last updated
May 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 016605 NY Primary

Addresses

Primary practice location

192 Park Club Lane
Suite 100
Williamsville, NY 14221

Mailing address

192 Park Club Lane
Suite 100
Williamsville, NY 14221
Phone (716) 204-1101

Other practice location 1

400 N Main St
Warsaw, NY 14569-1025
Phone (585) 786-7907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130904000205 NY Practitioner - Physician Assistant 0042453490 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

192 Park Club LN
Williamsville, NY 14221-5270

2157 Main St
Buffalo, NY 14214-2648
Phone (716) 837-2400

2605 Harlem Rd
Cheektowaga, NY 14225-4018
Phone (716) 837-2400

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

4901 Camp Rd
Suite 100
Hamburg, NY 14075-2625
Phone (716) 204-1101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
016605NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC Physician Assistant CurrentSince Oct 1, 2019 Accepting new patients
Trinity Medical Wny PC CurrentSince Oct 1, 2019 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

3040 Amsdell Rd
Hamburg, NY 14075
Phone (716) 646-6700

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

192 Park Club Ln
Ste 100
Williamsville, NY 14221
Phone (716) 667-7463

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1023457959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 PARK CLUB LANE",
            "address_2": "SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-204-1101",
            "fax_number": "716-204-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 PARK CLUB LANE",
            "address_2": "SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-204-1101",
            "fax_number": "716-204-8528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Main St",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "NY",
            "postal_code": "145691025",
            "country_code": "US",
            "telephone_number": "585-786-7907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOBIANCO",
        "first_name": "JOHN",
        "middle_name": "JAMES",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.