Individual provider Active NPI

Deborah J Hamlin, CNP

  • Medical Physician Assistant
  • Williamsville, NY
National Provider Identifier
1215934294
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
F3034631 Issued in NY
Practice address
192 Park Club Lane
Suite 100
Williamsville, NY 14221
Phone
(716) 204-1101
Fax
(716) 204-0914
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X F3034631 NY Primary

Addresses

Primary practice location

192 Park Club Lane
Suite 100
Williamsville, NY 14221

Mailing address

192 Park Club Lane
Suite 100
Williamsville, NY 14221
Phone (716) 204-1101

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
I20040724000111 NY Practitioner - Nurse Practitioner 1355321860 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

192 Park Club LN
Williamsville, NY 14221-5270

2157 Main St
Buffalo, NY 14214-2648
Phone (716) 837-2400

2605 Harlem Rd
Cheektowaga, NY 14225-4018
Phone (716) 837-2400

2950 Elmwood Ave
Kenmore, NY 14217-1304

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

Hospital & facility affiliations

  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
303463NYMDPediatrics Physician
F3034631NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kenmore Mercy Hospital CurrentSince Oct 25, 2024 Accepting new patients
Kenmore Mercy Hospital CurrentSince Oct 25, 2024 Accepting new patients
Trinity Medical Wny PC Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Oct 25, 2024 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current 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 CurrentSince Oct 25, 2024 Accepting new patients
Kenmore Mercy Hospital Current Accepting new patients
Trinity Medical Wny PC Medical CurrentSince Oct 1, 2019 Accepting new patients
Trinity Medical Wny PC CurrentSince Oct 1, 2019 Accepting new patients
Kenmore Mercy Hospital Past Accepting new patients

Locations

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

144 Genesee St
Buffalo, NY 14203
Phone (716) 206-1510

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

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

2950 Elmwood Ave
Ste 2034
Kenmore, NY 14217
Phone (716) 447-6100

300 Two Mile Creek Rd
Tonawanda, NY 14150
Phone (716) 447-6450

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

192 Park Club Ln
Ste 100
Williamsville, NY 14221
Phone (716) 667-7463

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1215934294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 PARK CLUB LANE",
            "address_2": "SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-204-1101",
            "fax_number": "716-204-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 PARK CLUB LANE",
            "address_2": "SUITE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-204-1101",
            "fax_number": "716-204-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLIN",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "F3034631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.