Nicole Niedzwiedz

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

381923 Issued in NY

Practice address

3725 N Buffalo St
Suite a
Orchard Park, NY 14127-1853

Phone

(716) 662-2300

Fax

(716) 662-2057

NPI assigned

Aug 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: nicoleniedzwiedzpnp@orchardparkpediatrics.medentdirect.com

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1205029097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 N BUFFALO ST",
            "address_2": "SUITE A",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271853",
            "telephone_number": "716-662-2300",
            "fax_number": "716-662-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 N BUFFALO ST",
            "address_2": "SUITE A",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271853",
            "telephone_number": "716-662-2300",
            "fax_number": "716-662-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEDZWIEDZ",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "381923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Era Office Services, Corp
• Tonja Newkirk, LMHC-P
• Abigail Newman
• Julianne Heidi Nichols, D.O.
• Emily Nicosia, PA-C
• Nancy H. Nielsen, M.D,
• Katherine Elizabeth Niespodzinski, PA-C
• Bruce Nisbet, MSW
• Lori Nix
• Samantha Noeson, LMT

• Pediatric Adolescent Medicine Physician in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.