Individual provider Active NPI

Amanda Gynan, NP

  • Adult Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1124781380
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F311231 Issued in NY
Practice address
Elm and Carlton St
Buffalo, NY 14263-7529
Phone
(716) 245-2300
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 683915 NY
Adult Health Nurse Practitioner 363LA2200X F311231 NY Primary

Addresses

Primary practice location

Elm and Carlton St
Buffalo, NY 14263-7529

Mailing address

199 Park Club LN Ste 500
Williamsville, NY 14221-5269
Phone (716) 845-1300

Other identifiers 1

IdentifierTypeStateIssuer
07669065MedicaidNY

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
I20230501001230 NY Practitioner - Nurse Practitioner 3375908163 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roswell Park Cancer InstituteGroup PAC ID 3577475110, 487 clinicians

Practice addresses (Care Compare)

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Hospital & facility affiliations

  • Roswell Park Cancer Institute Hospital, Buffalo, NY, CCN 330354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
683915NYMDRegistered Nurse
311231NYMDNeurology Physician
F311231NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Aug 12, 2024 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Aug 12, 2024 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Aug 12, 2024 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Infinity Medical Group P.C. CurrentSince Mar 1, 2025 Accepting new patients
Roswell Park Cancer Institute CurrentSince May 8, 2023 Accepting new patients
Infinity Medical of Wny PC CurrentSince Mar 1, 2025 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Roswell Park Cancer Institute CurrentSince May 8, 2023 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
General Physician, PC Past Accepting new patients
Rpci Oncology PC PastSince Jun 15, 2025 Accepting new patients

Locations

Dept 8000
Buffalo, NY 14267

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

100 High St
#D1
Buffalo, NY 14203
Phone (716) 422-0010

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

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

Elm and Carlton St
Buffalo, NY 14263

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

6199 Transit Rd
Depew, NY 14043
Phone (716) 206-0390

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

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 and National Provider Directory roles.

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1124781380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 PARK CLUB LN STE 500",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215269",
            "telephone_number": "716-845-1300",
            "fax_number": "716-322-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142637529",
            "telephone_number": "716-245-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GYNAN",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "683915",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07669065",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.