Individual provider Active NPI

Elizabeth Rice, PA-C

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1265963151
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020705-1 Issued in NY
Practice address
72 Inwood PL
Buffalo, NY 14209-1023
Phone
(716) 783-1496
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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 020705-1 NY Primary

Addresses

Primary practice location

72 Inwood PL
Buffalo, NY 14209-1023

Mailing address

2600 W Oakfield Rd
Grand Island, NY 14072-3011
Phone (716) 783-1496

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
I20170414000609 NY Practitioner - Physician Assistant 4082990692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Niagara Dermatology Associates LLCGroup PAC ID 3577797091, 6 clinicians

Practice addresses (Care Compare)

5320 Military Rd
Lewiston, NY 14092-2149
Phone (716) 205-8324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020705-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Mar 1, 2018 Accepting new patients
New York University CurrentSince Mar 1, 2018 Accepting new patients

Locations

275 7th Ave
Fl 3
New York, NY 10001
Phone (646) 660-9999

160 W 26th St
New York, NY 10001
Phone (212) 924-2510

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.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1265963151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W OAKFIELD RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140723011",
            "telephone_number": "716-783-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 INWOOD PL",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091023",
            "telephone_number": "716-783-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020705-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.