Individual provider Active NPI

Norma Quijada, MD

  • Specialist
  • Orchard Park, NY
National Provider Identifier
1134186877
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
202548 Issued in NY
Practice address
200 Sterling Dr Ste 400
Orchard Park, NY 14127-1558
Phone
(716) 677-0250
Fax
(716) 677-0253
NPI assigned
Apr 27, 2006
Last updated
Apr 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 202548 NY Primary

Addresses

Primary practice location

200 Sterling Dr Ste 400
Orchard Park, NY 14127-1558

Mailing address

200 Sterling Dr Ste 400
Orchard Park, NY 14127-1558
Phone (716) 677-0250

Other identifiers 3

IdentifierTypeStateIssuer
001436724OtherNYUNITED HEALTH CARE
16-1576624OtherNYTAX ID
01658891MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060224000661 NY Practitioner - Endocrinology 1153336706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wny Medical PCGroup PAC ID 9335191733, 44 clinicians

Practice addresses (Care Compare)

2600 S Park Ave
Lackawanna, NY 14218-1504
Phone (716) 822-2028

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202548NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wny Medical PC CurrentSince Mar 14, 2016 Accepting new patients

Locations

135 Grant St
Buffalo, NY 14213
Phone (716) 881-4300

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

2600 S Park Ave
Lackawanna, NY 14218
Phone (716) 822-2028

3595 Eggert Rd
Orchard Park, NY 14127
Phone (716) 662-7114

Organizations & group practices 2

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 3

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1134186877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STERLING DR STE 400",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271558",
            "telephone_number": "716-677-0250",
            "fax_number": "716-677-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STERLING DR STE 400",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271558",
            "telephone_number": "716-677-0250",
            "fax_number": "716-677-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIJADA",
        "first_name": "NORMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "202548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "001436724",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "16-1576624",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01658891",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.