NPIMap

Individual provider Active NPI

Jeffery Todd Facer, MD

  • Internal Medicine Physician
  • Fredonia, NY
National Provider Identifier
1174599161
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2321991 Issued in NY
Practice address
12 Center Street
Ste 1
Fredonia, NY 14063-1804
Phone
(716) 679-2233
Fax
(716) 679-9698
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2321991 NY Primary
Physical Therapist 225100000X 0137521 NY

Addresses

Primary practice location

12 Center Street
Ste 1
Fredonia, NY 14063-1804

Mailing address

12 Center Street
Ste 1
Fredonia, NY 14063-1804
Phone (716) 679-2233

Other identifiers 1

IdentifierTypeStateIssuer
02563651MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823001047 NY Practitioner - Internal Medicine 9830163138 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Mobile Medical Care PC 97 clinicians
Mobile Physician Services PLLC 104 clinicians
Partners Medical Group PLLC 35 clinicians

Practice addresses (Care Compare)

Buffalo, NY 14202
Phone (716) 893-1010

40 La Riviere Dr
Suite 201
Buffalo, NY 14202-4036
Phone 7168931010210

6400 Powers Rd
Orchard Park, NY 14127-4841
Phone (914) 843-9637

Hospital & facility affiliations

  • Hospice Buffalo Inc Hospice, Cheektowaga, NY, CCN 331502
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • McAuley Residence Nursing home, Kenmore, NY, CCN 335433
  • Father Baker Manor Nursing home, Orchard Park, NY, CCN 335777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2321991NYMDInternal Medicine Physician
0137521NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Medical Group, PLLC CurrentSince Mar 17, 2024 Accepting new patients
Care Connect Medical P.C. Internal Medicine CurrentSince Jun 27, 2025 Accepting new patients
Mobile Physician Services PLLC CurrentSince Dec 4, 2025 Accepting new patients
Physician Mobile Medical Care PC Internal Medicine CurrentSince Nov 19, 2025 Accepting new patients
Infinity Medical of Wny PC CurrentSince May 1, 2014 Accepting new patients
McAuley Residence Past Accepting new patients
Wny Catholic Long Term Care, Inc. Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

40 La Riviere Dr
Ste 201A
Buffalo, NY 14202
Phone 7168931010221

40 La Riviere Dr
Ste 201
Buffalo, NY 14202
Phone 7168931010210

2235 Millersport Hwy
Getzville, NY 14068
Phone (716) 504-1000

100 Stahl Rd
Getzville, NY 14068
Phone (716) 688-8822

4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

18215 Hillside Ave
Jamaica, NY 11432
Phone (718) 262-8651

6400 Powers Rd
Orchard Park, NY 14127
Phone (716) 667-0001

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

Organizations & group practices 8

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.

Hospital & facility affiliations 11

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1174599161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CENTER STREET",
            "address_2": "STE 1",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631804",
            "telephone_number": "716-679-2233",
            "fax_number": "716-679-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CENTER STREET",
            "address_2": "STE 1",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631804",
            "telephone_number": "716-679-2233",
            "fax_number": "716-679-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACER",
        "first_name": "JEFFERY",
        "middle_name": "TODD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2321991",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0137521",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02563651",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredonia, NY

Sources for this page

Verify at the official NPI Registry.