Individual provider Active NPI

Gursharon Kaur Nijjar, M.D.

  • Psychiatry Physician
  • Buffalo, NY
National Provider Identifier
1194187344
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
305843-01 Issued in NY
Practice address
768 Delaware Ave
Buffalo, NY 14209-2006
Phone
(716) 882-3151
NPI assigned
Mar 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 305843-01 NY Primary

Addresses

Primary practice location

768 Delaware Ave
Buffalo, NY 14209-2006

Mailing address

255 Delaware Ave Ste 300
Buffalo, NY 14202-2017

Other practice location 1

255 Delaware Ave Ste 300
Buffalo, NY 14202-2017
Phone (408) 348-2769

Other practice location 2

255 Delaware Ave Ste 300
Buffalo, NY 14202-2017
Phone (716) 884-0888

Other practice location 3

625 Delaware Ave Ste 204
Buffalo, NY 14202-1007
Phone (716) 882-3151

Other practice location 4

3176 Abbott Rd Unit 500
Orchard Park, NY 14127-1069
Phone (716) 822-2117

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201224000037 NY Practitioner - Psychiatry 6901190347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bestself Behavioral Health IncGroup PAC ID 6507856622, 77 clinicians

Practice addresses (Care Compare)

3176 Abbott Rd
Suite 500
Orchard Park, NY 14127-1069
Phone (716) 822-2117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305843-01NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bestself Behavioral Health, Inc. CurrentSince Nov 20, 2020 Accepting new patients
Bestself Behavioral Health, Inc. CurrentSince Nov 20, 2020 Accepting new patients

Locations

899 Main St
Buffalo, NY 14203
Phone (716) 862-6544

254 Franklin St
Buffalo, NY 14202
Phone (716) 551-7894

625 Delaware Ave
Ste 204
Buffalo, NY 14202
Phone (716) 882-3151

255 Delaware Ave
Ste 300
Buffalo, NY 14202
Phone (408) 348-2769

768 Delaware Ave
Buffalo, NY 14209
Phone (716) 881-2405

3176 Abbott Rd
Ste 500
Orchard Park, NY 14127
Phone (716) 822-2117

3176 Abbott Rd
Unit 500
Orchard Park, NY 14127
Phone (716) 822-2117

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.

NPI Registry JSON

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

{
    "created_epoch": "1459036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1194187344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 DELAWARE AVE STE 300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142022017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092006",
            "telephone_number": "716-882-3151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 Delaware Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142022017",
            "country_code": "US",
            "telephone_number": "408-348-2769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 Delaware Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142022017",
            "country_code": "US",
            "telephone_number": "716-884-0888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Delaware Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142021007",
            "country_code": "US",
            "telephone_number": "716-882-3151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3176 Abbott Rd Unit 500",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271069",
            "country_code": "US",
            "telephone_number": "716-822-2117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIJJAR",
        "first_name": "GURSHARON",
        "middle_name": "KAUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-27",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "305843-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.