Active NPI
Michael McQuade
- Licensed Practical Nurse
- Tonawanda, NY
National Provider Identifier
1104407329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 279184
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 279184 | NY | MD | Licensed 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.