Active NPI
Virginia M Hart, NURSE PRACITIONER
- Physician Assistant
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004180-1
- Practice address
- 85 High St
Buffalo, NY 14203-1149 - Phone
- (716) 630-1000
- Fax
- (716) 859-3555
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004180-1 | NY | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | F300536-1 | NY |
Addresses
Primary practice location
85 High St
Buffalo, NY 14203-1149
Mailing address
6255 Sheridan Dr
Suite 304
Williamsville, NY 14221-4836
Phone (716) 857-8666
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9512109 | Other | NY | IHA |
| P00142393 | Other | NY | RR MEDICARE |
| 161000580 | Other | NY | NOVA |
| 000560263005 | Other | NY | HEALTH NOW |
| 00026516503 | Other | NY | UNIVERA |
| 01873156 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300536 | NY | MD | Family Medicine Physician |
| 004180-1 | NY | MD | Occupational Therapist |
| F300536-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Physician, PC | Current | Accepting new patients | |
| Buffalo Medical Group, P.C. | Current | Accepting new patients | |
| Buffalo Medical Group, P.C. | Current | Accepting new patients |
Locations
85 High St
Buffalo, NY 14203
Phone (716) 857-8623
1083 Delaware Ave
Buffalo, NY 14209
Phone (716) 862-2454
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
6255 Sheridan Dr
Ste 304
Williamsville, NY 14221
Phone (716) 857-8666
705 Maple Rd
Ste 300
Williamsville, NY 14221
Phone (716) 631-8400
Interoperability endpoints
- vhart@gppc.medentdirect.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1881659506
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- Durable Medical Equipment & Medical Supplies
- Lockport, NY
- NPI 1982566782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261094400000",
"number": "1235145905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 SHERIDAN DR",
"address_2": "SUITE 304",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214836",
"telephone_number": "716-857-8666",
"fax_number": "716-857-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 HIGH ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031149",
"telephone_number": "716-630-1000",
"fax_number": "716-859-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "VIRGINIA",
"middle_name": "M",
"credential": "NURSE PRACITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2009-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "004180-1",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F300536-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "9512109",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00142393",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVA",
"identifier": "161000580",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW",
"identifier": "000560263005",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00026516503",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01873156",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.