Individual provider Active NPI

Jennifer M Honer, FNP

  • Family Nurse Practitioner
  • Depew, NY
National Provider Identifier
1174975858
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340795 Issued in NY
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

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04548129MedicaidNY

Other names 1

  • Jennifer M Giczkowski Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180727001951 NY Practitioner - Nurse Practitioner 5890042451 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F340795NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wny Medical PC Family CurrentSince Jun 6, 2018 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

Verify at the official NPI Registry.