Individual provider Active NPI

Tiffany Ali

  • Medical Physician Assistant
  • West Amherst, NY
National Provider Identifier
1083090294
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
018806-1 Issued in NY
Practice address
3950 E Robinson Rd Ste 207
West Amherst, NY 14228-2044
Phone
(716) 564-1111
Fax
(716) 929-0194
NPI assigned
Aug 11, 2015
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 9620 AZ
Medical Physician Assistant 363AM0700X 018806-1 NY Primary

Addresses

Primary practice location

3950 E Robinson Rd Ste 207
West Amherst, NY 14228-2044

Mailing address

1150 Youngs Rd Ste 104
Williamsville, NY 14221-8096
Phone (716) 636-7990

Other practice location 1

11812 N 19th Ave
Phoenix, AZ 85029-3536
Phone (337) 991-9276

Other identifiers 1

IdentifierTypeStateIssuer
04310601MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151130001446 NY Practitioner - Physician Assistant 2668772427 Reassigns benefits to 5 organizations
I20231113002043 AZ Practitioner - Physician Assistant 2668772427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Surprise Medical Consultants LLCGroup PAC ID 0446535967, 6 clinicians
Neena K Uppal MD PCGroup PAC ID 6406111947, 6 clinicians

Practice addresses (Care Compare)

14674 W Mountain View Blvd
Suite 200
Surprise, AZ 85374-2708
Phone (623) 544-6860

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018806NYMDClinical Psychologist
018806-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mount St. Mary's Hospital of Niagara Falls CurrentSince Nov 1, 2020 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Sep 27, 2015 Accepting new patients
Highgate Medical Group Physician Assistant CurrentSince Nov 13, 2022 Accepting new patients
Amardeep S Majhail MD PC Current Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Kenmore Mercy Hospital CurrentSince Nov 1, 2020 Accepting new patients

Locations

14674 W Mountain View Blvd
Ste 200
Surprise, AZ 85374
Phone (602) 510-7142

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

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

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

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

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

3950 E Robinson Rd
Ste 207
West Amherst, NY 14228
Phone (716) 564-1111

1150 Youngs Rd
Ste 104
Williamsville, NY 14221
Phone (716) 636-7979

Organizations & group practices 12

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 1

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1083090294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD STE 104",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218096",
            "telephone_number": "716-636-7990",
            "fax_number": "716-636-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 E ROBINSON RD STE 207",
            "city": "WEST AMHERST",
            "state": "NY",
            "postal_code": "142282044",
            "telephone_number": "716-564-1111",
            "fax_number": "716-929-0194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11812 N 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850293536",
            "country_code": "US",
            "telephone_number": "337-991-9276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "9620",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "018806-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04310601",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Amherst, NY

Sources for this page

Verify at the official NPI Registry.