NPIMap

Organization Active NPI

Mobile Physician Services PLLC

  • Family Medicine Physician
  • Buffalo, NY
National Provider Identifier
1194132415
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
134888 Issued in NY
Legal business name
MOBILE PHYSICIAN SERVICES PLLC
Practice address
40 La Riviere Dr Ste 201
Buffalo, NY 14202-4036
Phone
(337) 991-9276
NPI assigned
Jul 18, 2014
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Nicole Howard
Title
SVP of Admin Services
Phone
(337) 408-0797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 134888 NY Primary

Addresses

Primary practice location

40 La Riviere Dr Ste 201
Buffalo, NY 14202-4036

Mailing address

5750 Johnston St Ste 205
Lafayette, LA 70503-5345
Phone (337) 991-9276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141203001681 NY Part B Supplier - Clinic/Group Practice 8325360290 Receives reassigned benefits from 145 practitioners
O20211109000305 VT Part B Supplier - Clinic/Group Practice 8325360290 Receives reassigned benefits from 5 practitioners
Practice locations: Burlington, VT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2205619Mobile Physician Services, PLLC40 La Riviere Dr, Suite 140, Buffalo, NY 14202Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

10 Herkimer St
Buffalo, NY 14213

40 La Riviere Dr
Buffalo, NY 14202

40 La Riviere Dr
Ste 140
Buffalo, NY 14202

50 Lakefront Blvd
Buffalo, NY 14202
Phone (716) 849-8750

2248 Old Union Rd
Cheektowaga, NY 14227
Phone (716) 608-7000

4975 Strickler Rd
Clarence, NY 14031

8455 Clarence Center Rd
Clarence Center, NY 14032
Phone (716) 319-9500

319 Washington Ave
Dunkirk, NY 14048
Phone (716) 366-2066

8820 Transit Rd
East Amherst, NY 14051

2720 N Forest Rd
Getzville, NY 14068

2971 Delaware Ave
Kenmore, NY 14217
Phone (716) 874-3200

5979 Broadway St
Lancaster, NY 14086

327 High St
Lockport, NY 14094

40 Park St
Norwich, NY 13815
Phone (607) 334-9931

8290 State Route 69
Oriskany, NY 13424
Phone (315) 736-9311

1700 Penfield Rd
Penfield, NY 14526
Phone (585) 426-4990

1919 Elmwood Ave
Rochester, NY 14620
Phone (585) 271-8700

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

37 N Chemung St
Waverly, NY 14892
Phone (607) 565-2861

4192B Bolivar Rd
Wellsville, NY 14895
Phone (585) 593-3900

6076 Main St
Williamsville, NY 14221
Phone (716) 201-0087

Practitioners & affiliated clinicians

Practitioners 169

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 169

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1194132415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035345",
            "telephone_number": "337-991-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LA RIVIERE DR STE 201",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024036",
            "telephone_number": "337-991-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PHYSICIAN SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "SVP OF ADMIN SERVICES",
        "authorized_official_telephone_number": "337-408-0797"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "134888",
            "primary": true
        }
    ],
    "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 Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.