Individual provider Active NPI

Jenine Marie Paner-Bansi, D.O.

  • Family Medicine Physician
  • Buffalo, NY
National Provider Identifier
1316383672
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
292396 Issued in NY
Practice address
951 Niagara St
Buffalo, NY 14213-2116
Phone
(716) 884-0700
Fax
(716) 884-0631
NPI assigned
May 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO2093 NV
Family Medicine Physician 207Q00000X 292396 NY Primary

Addresses

Primary practice location

951 Niagara St
Buffalo, NY 14213-2116

Mailing address

951 Niagara St
Buffalo, NY 14213-2116
Phone (716) 884-0700

Other names 1

  • Dr. Jenine Marie Paner Former name

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
I20180420001356 NY Practitioner - Osteopathic Manipulative Medicine 2769778414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bestself Behavioral Health IncGroup PAC ID 6507856622, 77 clinicians

Practice addresses (Care Compare)

951 Niagara St
Buffalo, NY 14213-2116
Phone (716) 884-0700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2093NVMDFamily Medicine Physician
292396NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ub Family Medicine, Inc Family Medicine CurrentSince May 1, 2018 Accepting new patients
University Emergency Medical Services Inc. Current Accepting new patients
Bestself Behavioral Health, Inc. CurrentSince Apr 1, 2018 Accepting new patients
Bestself Behavioral Health, Inc. CurrentSince Apr 1, 2018 Accepting new patients

Locations

951 Niagara St
Buffalo, NY 14213
Phone (716) 883-5344

899 Main St
Buffalo, NY 14203
Phone (716) 862-6544

254 Franklin St
Buffalo, NY 14202
Phone (716) 551-7894

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1316383672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132116",
            "telephone_number": "716-884-0700",
            "fax_number": "716-884-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 NIAGARA ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142132116",
            "telephone_number": "716-884-0700",
            "fax_number": "716-884-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANER-BANSI",
        "first_name": "JENINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2093",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "292396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENINE",
            "last_name": "PANER",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.