Individual provider Active NPI

Richard P. Maniace, P.N.P.

  • Pediatric Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1063517787
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F381303 Issued in NY
Practice address
2924 Main St
Buffalo, NY 14214-1720
Phone
(716) 837-0995
Fax
(716) 837-1203
NPI assigned
Sep 14, 2006
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F381303 NY Primary

Addresses

Primary practice location

2924 Main St
Buffalo, NY 14214-1720

Mailing address

8205 Main St Ste 10
Williamsville, NY 14221-6054
Phone (716) 539-0789

Other identifiers 8

IdentifierTypeStateIssuer
02052371MedicaidNY
384749OtherNYMVP UPSTATE DHP DOCTORS H
01725OtherNYBLUE SHIELD OF ROCHESTER
4334391OtherAETNA US HEALTHCARE
NP0022OtherNYPREFERRED CARE
P010164923OtherEXCELLUS BLUE CHOICE
RC60164923OtherPOMCO
Y028938OtherTRICARE REGION 1

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
I20260217000006 NY Practitioner - Nurse Practitioner 2769962067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

601 Elmwood Ave
Rochester, NY 14642-0001

601 Elmwood Ave Box
Rochester, NY 14642-0001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F381303NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Health Associates of Western New York PLLC CurrentSince Nov 30, 2025 Accepting new patients
Pediatric Development Clinic CurrentSince Jan 1, 2026 Accepting new patients
Rochester General Hospital Past Accepting new patients
Main Buffalo Pediatrics LLP PastSince Nov 30, 2025 Accepting new patients
Genesis Pediatrics, LLC Past Accepting new patients
Western New York Pediatric Associates, LLP PastSince Dec 21, 2025 Accepting new patients

Locations

2924 Main St
Buffalo, NY 14214
Phone (716) 837-0995

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

8205 Main St
Ste 10
Williamsville, NY 14221

Interoperability endpoints

  • Direct secure messaging: richardmaniacecnp@mhawny.medentdirect.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1063517787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 MAIN ST STE 10",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216054",
            "telephone_number": "716-539-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141720",
            "telephone_number": "716-837-0995",
            "fax_number": "716-837-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIACE",
        "first_name": "RICHARD",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "credential": "P.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02052371",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP UPSTATE DHP DOCTORS H",
            "identifier": "384749",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF ROCHESTER",
            "identifier": "01725",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "4334391",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "NP0022",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BLUE CHOICE",
            "identifier": "P010164923",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "POMCO",
            "identifier": "RC60164923",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE REGION 1",
            "identifier": "Y028938",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.