Individual provider Active NPI

Jennifer Ann Jaroslawsky, NP

  • Adult Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1295328607
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310172 Issued in NY
Practice address
100 College Pkwy Ste 260
Buffalo, NY 14221-6800
Phone
(716) 635-0688
Fax
(716) 204-9574
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F310172 NY Primary

Addresses

Primary practice location

100 College Pkwy Ste 260
Buffalo, NY 14221-6800

Mailing address

59 Edgebrook Est Apt 9
Cheektowaga, NY 14227-2022
Phone (716) 901-3539

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
I20210329001562 NY Practitioner - Nurse Practitioner 9436566981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R and B Medical Group LLPGroup PAC ID 1153217062, 7 clinicians

Practice addresses (Care Compare)

100 College Pkwy
Suite 260
Williamsville, NY 14221-6800
Phone (716) 635-0668

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F310172NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
R & B Medical Group, LLP CurrentSince Feb 19, 2021 Accepting new patients

Locations

3950 E Robinson Rd
Ste 305
West Amherst, NY 14228

100 College Pkwy
Ste 260
Williamsville, NY 14221
Phone (716) 635-0668

Interoperability endpoints

  • Direct secure messaging: jenniferj@rbmedical.medentdirect.com

Organizations & group practices 1

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 8

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": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1295328607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 EDGEBROOK EST APT 9",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142272022",
            "telephone_number": "716-901-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLLEGE PKWY STE 260",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142216800",
            "telephone_number": "716-635-0688",
            "fax_number": "716-204-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAROSLAWSKY",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.