Active NPI
Fernando Antonio Pineda, ATC, RD
- Registered Dietitian
- Buffalo, NY
National Provider Identifier
1154987667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 009927
- Practice address
- 34 Benwood Ave
Buffalo, NY 14214-1761 - Phone
- (716) 986-9199
- Fax
- (716) 961-7425
- NPI assigned
- May 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 009927 | NY | Primary |
| Athletic Trainer | 2255A2300X | 002046 | NY |
Addresses
Primary practice location
34 Benwood Ave
Buffalo, NY 14214-1761
Mailing address
34 Benwood Ave
Buffalo, NY 14214-1761
Phone (716) 986-9199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002046 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Central and Western New York, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Buffalo, NY
- NPI 1790787919
-
- Ambulatory Family Planning Facility
- Rochester, NY
- NPI 1306909957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1154987667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 BENWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142141761",
"telephone_number": "716-986-9199",
"fax_number": "716-961-7425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 BENWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142141761",
"telephone_number": "716-986-9199",
"fax_number": "716-961-7425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINEDA",
"first_name": "FERNANDO",
"middle_name": "ANTONIO",
"credential": "ATC, RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-10",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "009927",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "002046",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.