Organization Active NPI

Paradigm Family Health NP PLLC

  • Family Nurse Practitioner
  • Depew, NY
National Provider Identifier
1154801033
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
339168 Issued in NY
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

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Mr. Douglas Allen Pearce, FNP-BCNPI 1144623778
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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Pain Clinic/Center 261QP3300X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1144623778MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.