Individual provider Active NPI

Jamie Marie Marfurt, PA-C

  • Physician Assistant
  • Williamsville, NY
National Provider Identifier
1265919369
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
022337 Issued in NY
Practice address
180 Park Club LN Ste 100
Williamsville, NY 14221-5258
Phone
(716) 632-7465
NPI assigned
Jul 23, 2018
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 022337 NY Primary

Addresses

Primary practice location

180 Park Club LN Ste 100
Williamsville, NY 14221-5258

Mailing address

180 Park Club LN Ste 100
Williamsville, NY 14221-5258
Phone (716) 632-7465

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
I20180910000856 NY Practitioner - Physician Assistant 3476803644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vivian L Lindfield MD PCGroup PAC ID 8729140272, 2 clinicians
Preferred Physician Care PCGroup PAC ID 5799945911, 26 clinicians

Practice addresses (Care Compare)

180 Park Club LN
Suite 100
Williamsville, NY 14221-5258
Phone (716) 632-7465

30 N Union Rd
Williamsville, NY 14221-5367
Phone (716) 747-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 2

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1265919369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PARK CLUB LN STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215258",
            "telephone_number": "716-632-7465",
            "fax_number": "716-608-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PARK CLUB LN STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215258",
            "telephone_number": "716-632-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARFURT",
        "first_name": "JAMIE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.