Individual provider Active NPI

Jacob Joseph Cukierski

  • Neuromusculoskeletal Medicine & OMM Physician
  • Williamsville, NY
National Provider Identifier
1255743027
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
288908-1 Issued in NY
Practice address
8604 Main St Ste 4
Williamsville, NY 14221-7463
Phone
(716) 858-0264
NPI assigned
May 28, 2014
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 288908-1 NY Primary
Family Medicine Physician 207Q00000X 288908-1 NY

Addresses

Primary practice location

8604 Main St Ste 4
Williamsville, NY 14221-7463

Mailing address

8604 Main St Ste 4
Williamsville, NY 14221-7463
Phone (716) 858-0264

Other practice location 1

2157 Main St
Department of Osteopathic Medical Education
Buffalo, NY 14214-2648
Phone (716) 862-1840

Other identifiers 1

IdentifierTypeStateIssuer
04848606MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171107001868 NY Practitioner - Osteopathic Manipulative MedicinePractitioner - Family PracticePractitioner - Other (Physician) 8729344783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8604 Main St
Suite 4
Williamsville, NY 14221-7463
Phone (716) 858-0243

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288908-1NYMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Immediate Medical Care LLC CurrentSince Sep 6, 2017 Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Sep 6, 2017 Accepting new patients
Buffalo Neuromusculoskeletal Medicine PLLC Neuromusculoskeletal Medicine & Omm CurrentSince Feb 4, 2019 Accepting new patients
Cukierski Medical Services, LLC Neuromusculoskeletal Medicine & Omm Current Accepting new patients

Locations

2099 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 204-2273

5014 Transit Rd
Depew, NY 14043
Phone (716) 684-2273

8604 Main St
Ste 4
Williamsville, NY 14221
Phone (716) 204-9296

Interoperability endpoints

  • Direct secure messaging: jacob.cukierski@cm-ny.direct.office.nextgen.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1255743027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 MAIN ST STE 4",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217463",
            "telephone_number": "716-858-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8604 MAIN ST STE 4",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217463",
            "telephone_number": "716-858-0264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2157 Main St",
            "address_2": "Department of Osteopathic Medical Education",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142142648",
            "country_code": "US",
            "telephone_number": "716-862-1840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUKIERSKI",
        "first_name": "JACOB",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "288908-1",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "288908-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04848606",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.