Active NPI
Jennifer M Honer, FNP
- Family Nurse Practitioner
- Depew, NY
National Provider Identifier
1174975858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F340795
- Practice address
- 3218 Walden Ave
Depew, NY 14043-2878 - Phone
- (716) 923-4380
- NPI assigned
- Jul 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F340795 | NY | Primary |
Addresses
Primary practice location
3218 Walden Ave
Depew, NY 14043-2878
Mailing address
9443 E Holland Rd
Holland, NY 14080-9797
Phone (716) 864-4418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04548129 | Medicaid | NY |
Other names 1
- Jennifer M Giczkowski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F340795 | NY | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wny Medical PC | Family | Current | Accepting new patients |
Locations
4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380
3595 Eggert Rd
Orchard Park, NY 14127
Phone (716) 662-2478
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1174975858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9443 E HOLLAND RD",
"city": "HOLLAND",
"state": "NY",
"postal_code": "140809797",
"telephone_number": "716-864-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3218 WALDEN AVE",
"city": "DEPEW",
"state": "NY",
"postal_code": "140432878",
"telephone_number": "716-923-4380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONER",
"first_name": "JENNIFER",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-06",
"last_updated": "2022-06-21",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F340795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04548129",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "GICZKOWSKI",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.