Individual provider Active NPI

Michael McQuade

  • Licensed Practical Nurse
  • Tonawanda, NY
National Provider Identifier
1104407329
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
279184 Issued in NY
Practice address
529 Loretta St
Tonawanda, NY 14150-8711
Phone
(716) 261-9981
NPI assigned
Apr 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NY
Case Manager/Care Coordinator 171M00000X
Licensed Practical Nurse 164W00000X 279184 NY Primary

Addresses

Primary practice location

529 Loretta St
Tonawanda, NY 14150-8711

Mailing address

529 Loretta St
Tonawanda, NY 14150-8711
Phone (716) 261-9981

Other practice location 1

184 Barton St
Jericho Road Community Health Center
Buffalo, NY 14213-1573
Phone (716) 881-6191

Other practice location 2

1021 Broadway St
Buffalo, NY 14212-1460
Phone (716) 881-6191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
279184NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1104407329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 LORETTA ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508711",
            "telephone_number": "716-261-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 LORETTA ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508711",
            "telephone_number": "716-261-9981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "184 Barton St",
            "address_2": "Jericho Road Community Health Center",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142131573",
            "country_code": "US",
            "telephone_number": "716-881-6191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142121460",
            "country_code": "US",
            "telephone_number": "716-881-6191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCQUADE",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-19",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "279184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.