Active NPI
James S Collins, MD
- Family Medicine Physician
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 134888
- Practice address
- 40 La Riviere Dr Ste 201
Buffalo, NY 14202-4344 - Phone
- (716) 893-1010
- Fax
- (716) 893-1002
- NPI assigned
- Aug 24, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 134888 | NY | Primary |
Addresses
Primary practice location
40 La Riviere Dr Ste 201
Buffalo, NY 14202-4344
Mailing address
40 La Riviere Dr Ste 201
Buffalo, NY 14202-4344
Phone (716) 893-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00758241 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Mobile Medical Care PC | Current | Accepting new patients | |
| Mobile Physician Services PLLC | Family Medicine | Current | Accepting new patients |
| Mobile Nurse Practitioners | Past | Accepting new patients | |
| Mobile Nurse Practitioners | Past | Accepting new patients |
Locations
640 Ellicott St
Ste 105
Buffalo, NY 14203
Phone (716) 218-7169
40 La Riviere Dr
Ste 140
Buffalo, NY 14202
40 La Riviere Dr
Ste 201A
Buffalo, NY 14202
Phone 7168931010221
40 La Riviere Dr
Ste 201
Buffalo, NY 14202
Phone 7168931010210
4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450
5775 Maelou Dr
Hamburg, NY 14075
Phone (716) 648-2820
3333 Elmwood Ave
Kenmore, NY 14217
Phone (716) 874-1566
98 Starr Farm Rd
Burlington, VT 05408
Phone (802) 658-6717
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1518765502
-
- Gerontology Nurse Practitioner
- Williamsville, NY
- NPI 1740219633
-
- Family Nurse Practitioner
- Williamsville, NY
- NPI 1851317903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1104819200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 LA RIVIERE DR STE 201",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142024344",
"telephone_number": "716-893-1010",
"fax_number": "716-893-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 LA RIVIERE DR STE 201",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142024344",
"telephone_number": "716-893-1010",
"fax_number": "716-893-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "JAMES",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "134888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00758241",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.