Individual provider Active NPI

Amanda Yetta Buzynski, APRN-RX, FNP-BC

  • Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1154923555
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
345414 Issued in NY
Practice address
Elm and Carlton Street
Buffalo, NY 14263-0001
Phone
(716) 845-2300
NPI assigned
Nov 10, 2020
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 345414 NY Primary
Family Nurse Practitioner 363LF0000X F345414-01 NY
Family Nurse Practitioner 363LF0000X 3036 HI
General Practice Physician 208D00000X 3036 HI

Addresses

Primary practice location

Elm and Carlton Street
Buffalo, NY 14263-0001

Mailing address

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

Other practice location 1

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-3508

Other names 1

  • Amanda Yetta Mohamed Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211110002864 HI Practitioner - Nurse Practitioner 1759770837 Reassigns benefits to 1 organization
I20230719003544 NY Practitioner - Nurse Practitioner 1759770837 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3036HIMDGeneral Practice Physician
345414NYMDNurse Practitioner
F345414-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaikiki Telehealth LLC Nurse Practitioner CurrentSince Nov 8, 2021 Accepting new patients
Infinity Medical of Wny PC CurrentSince Jul 1, 2023 Accepting new patients
Roswell Park Cancer Institute CurrentSince Jan 9, 2025 Accepting new patients
Infinity Medical Group P.C. CurrentSince Jul 1, 2023 Accepting new patients
Roswell Park Cancer Institute CurrentSince Jan 9, 2025 Accepting new patients

Locations

6600 Kalanianaole Hwy
Ste 114A
Honolulu, HI 96825
Phone (808) 395-2273

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

275 Northpointe Pkwy
Ste 50
Buffalo, NY 14228
Phone (716) 389-3294

Dept 8000
Buffalo, NY 14267

Elm and Carlton St
Buffalo, NY 14263

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

Organizations & group practices 5

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 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": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1154923555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142630001",
            "telephone_number": "716-845-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELM AND CARLTON STREET",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142630001",
            "telephone_number": "716-845-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 High St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031126",
            "country_code": "US",
            "telephone_number": "716-859-3508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUZYNSKI",
        "first_name": "AMANDA",
        "middle_name": "YETTA",
        "name_prefix": "Mrs.",
        "credential": "APRN-RX, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "345414",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F345414-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "3036",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "HI",
            "license": "3036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MOHAMED",
            "middle_name": "YETTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.