NPIMap

Individual provider Active NPI

Jerome C Andres, M.D.

  • Family Medicine Physician
  • Niagara Falls, NY
National Provider Identifier
1063410108
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
150366 Issued in NY
Practice address
7300 Porter Rd
Niagara Falls, NY 14304-5705
Phone
(716) 298-5862
Fax
(716) 285-3622
NPI assigned
Jul 12, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 150366 NY Primary

Addresses

Primary practice location

7300 Porter Rd
Niagara Falls, NY 14304-5705

Mailing address

7300 Porter Rd
Niagara Falls, NY 14304-5705
Phone (716) 298-5862

Other identifiers 1

IdentifierTypeStateIssuer
00826137MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070907000080 NY Practitioner - Family Practice 8527022870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 1981
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)

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

7300 Porter Rd
Niagara Falls, NY 14304-5716
Phone (716) 298-5886

908 Ctr St
Lewiston, NY 14092-1737
Phone (716) 754-8083

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Sep 8, 2015 Accepting new patients
Trinity Medical Wny PC CurrentSince Feb 9, 2020 Accepting new patients
Trinity Medical Wny PC CurrentSince Feb 9, 2020 Accepting new patients
Trinity Medical Wny PC Current Accepting new patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Sep 8, 2015 Accepting new patients
Niagara Falls Memorial Medical Center Past Accepting new patients

Locations

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

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

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
  • Direct secure messaging: jandres22000@direct.chsbuffalo.org

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 6

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063410108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 PORTER RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143045705",
            "telephone_number": "716-298-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 PORTER RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143045705",
            "telephone_number": "716-298-5862",
            "fax_number": "716-285-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRES",
        "first_name": "JEROME",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "150366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00826137",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.