Active NPI
Paradigm Family Health NP PLLC
- Family Nurse Practitioner
- Depew, NY
National Provider Identifier
1154801033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 339168
- Legal business name
- PARADIGM FAMILY HEALTH NP PLLC
- Practice address
- 4721 Transit Rd Ste B
Depew, NY 14043-4898 - Phone
- (716) 324-5255
- NPI assigned
- Aug 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Douglas Allen Pearce, FNP-BC
- Title
- Ceo/Family Nurse Practitioner
- Phone
- (716) 324-5255
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Pain Clinic/Center | 261QP3300X | |||
| Family Nurse Practitioner | 363LF0000X | 339168 | NY | Primary |
Addresses
Primary practice location
4721 Transit Rd Ste B
Depew, NY 14043-4898
Mailing address
4721 Transit Rd Ste B
Depew, NY 14043-4898
Phone (716) 324-5255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144623778 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
4721 Transit Rd
Ste B
Depew, NY 14043
Phone (716) 257-1254
40 Gardenville Pkwy W
Ste 101
West Seneca, NY 14224
Phone (716) 324-5255
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Niagara Falls, NY
- NPI 1144623778
-
- Family Nurse Practitioner
- Buffalo, NY
- NPI 1659325546
-
- Peer Specialist
- West Seneca, NY
- NPI 1457138927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738800000000",
"number": "1154801033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721 TRANSIT RD STE B",
"city": "DEPEW",
"state": "NY",
"postal_code": "140434898",
"telephone_number": "716-324-5255",
"fax_number": "716-671-9079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4721 TRANSIT RD STE B",
"city": "DEPEW",
"state": "NY",
"postal_code": "140434898",
"telephone_number": "716-324-5255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADIGM FAMILY HEALTH NP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-20",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A",
"authorized_official_last_name": "PEARCE",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "CEO/FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "716-324-5255",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "339168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144623778",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Depew, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.