NPIMap

Individual provider Active NPI

Jesslyn Perry, M.D.

  • Internal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1205860186
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
210359 Issued in NY
Practice address
191 North Street
Suite 7
Buffalo, NY 14201-1510
Phone
(716) 882-1200
Fax
(716) 882-1220
NPI assigned
Jul 10, 2006
Last updated
Mar 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 210359 NY Primary

Addresses

Primary practice location

191 North Street
Suite 7
Buffalo, NY 14201-1510

Mailing address

191 North Street
Suite 7
Buffalo, NY 14201-1510
Phone (716) 882-1200

Other identifiers 2

IdentifierTypeStateIssuer
000525841007OtherNYBS WNY
0410901OtherNYIHA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000372 NY Practitioner - Internal Medicine 8527074012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care Medical Practice PLLCGroup PAC ID 5991199804, 25 clinicians

Practice addresses (Care Compare)

564 Niagara St
BLDG 2
Buffalo, NY 14201-1108
Phone (716) 882-0366

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Family Practice PC Internal Medicine CurrentSince Apr 1, 2013 Accepting new patients
Care Medical Practice PLLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Cinq-Ny-Ipa LLC Internal Medicine Current Accepting new patients
Buffalo Niagara Medical Associates Internal Medicine Past Accepting new patients
Buffalo Niagara Medical Associates Past Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

322 Linden Blvd
Brooklyn, NY 11226
Phone (718) 230-7788

1315 Jefferson Ave
Buffalo, NY 14208
Phone (716) 242-8327

564 Niagara St
Buffalo, NY 14201
Phone (716) 768-7700

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jesslyn.perry@caremedicalpractice.medentdirect.com
  • Direct secure messaging: jperry@cinq-nyipa.medentdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1205860186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 NORTH STREET",
            "address_2": "SUITE 7",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011510",
            "telephone_number": "716-882-1200",
            "fax_number": "716-882-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 NORTH STREET",
            "address_2": "SUITE 7",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011510",
            "telephone_number": "716-882-1200",
            "fax_number": "716-882-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JESSLYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS WNY",
            "identifier": "000525841007",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "0410901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.