Individual provider Active NPI

Patricia Marie Sorrentino, M.S.N.,P.N.P

  • Chore Provider
  • Buffalo, NY
National Provider Identifier
1194860254
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
License
F381082-1 Issued in NY
Practice address
219 Bryant St
1095 Jefferson Avenue Buffalo Ny 14209
Buffalo, NY 14222-2006
Phone
(716) 480-0499
Fax
(716) 878-1152
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X F381082-1 NY Primary

Addresses

Primary practice location

219 Bryant St
1095 Jefferson Avenue Buffalo Ny 14209
Buffalo, NY 14222-2006

Mailing address

8 Brimfield CT
Buffalo, NY 14224-4619
Phone (716) 674-8097

Other identifiers 2

IdentifierTypeStateIssuer
00361968MedicaidNY
040260003328OtherNYFIDELIS PROVIDER #

Other names 1

  • Mrs. Patricia Marie Higginbotham 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
I20221212000819 NY Practitioner - Nurse Practitioner 6103295340 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F381082-1NYMDChore Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Nov 1, 2022 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Sep 16, 2024 Accepting new patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Kaleida Health CurrentSince Nov 1, 2022 Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

397 Louisiana St
Buffalo, NY 14204
Phone (716) 823-6923

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

219 Bryant St
#1095
Buffalo, NY 14222
Phone (716) 480-0499

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000

Organizations & group practices 7

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1194860254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BRIMFIELD CT",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142244619",
            "telephone_number": "716-674-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 BRYANT ST",
            "address_2": "1095 JEFFERSON AVENUE BUFFALO NY 14209",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142222006",
            "telephone_number": "716-480-0499",
            "fax_number": "716-878-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRENTINO",
        "first_name": "PATRICIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S.N.,P.N.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NY",
            "license": "F381082-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00361968",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS PROVIDER #",
            "identifier": "040260003328",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "HIGGINBOTHAM",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.