Individual provider Active NPI

Rachel Pearl

  • Adult Health Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1316641319
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F311172 Issued in NY
Practice address
325 Essjay Rd
Williamsville, NY 14221-8243
Phone
(716) 630-1191
Fax
(716) 250-5952
NPI assigned
Mar 27, 2023
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 F311172 NY Primary

Addresses

Primary practice location

325 Essjay Rd
Williamsville, NY 14221-8243

Mailing address

425 Essjay Rd Ste 170
Buffalo, NY 14221-8235
Phone (716) 630-1219

Other practice location 1

4535 Southwestern Blvd Ste 202
Hamburg, NY 14075-1861
Phone (212) 283-3000

Other practice location 2

46 Larned Ln
Orchard Park, NY 14127-2306
Phone (716) 866-7342

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address production@direct.buffalomedicalgroup.com

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
I20230614003429 NY Practitioner - Nurse Practitioner 4183082761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buffalo Medical Group, P.C.Group PAC ID 7012820301, 233 clinicians

Practice addresses (Care Compare)

325 Essjay Rd
Williamsville, NY 14221-8243
Phone (716) 630-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F311172NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wny Medical PC Adult Health CurrentSince Nov 27, 2023 Accepting new patients
Southtowns Internal Medicine PC CurrentSince Nov 27, 2023 Accepting new patients
Schweiger Dermatology PLLC CurrentSince Jun 1, 2023 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince May 6, 2024 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince May 6, 2024 Accepting new patients

Locations

2508 Western Ave
Altamont, NY 12009
Phone (518) 690-0177

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

85 High St
Buffalo, NY 14203
Phone (716) 857-8623

6970 Erie Rd
Derby, NY 14047
Phone (716) 947-9147

6970 Erie Rd
Ste A
Derby, NY 14047
Phone (716) 947-9147

4535 Southwestern Blvd
Ste 202
Hamburg, NY 14075
Phone (607) 729-2777

33 E 33rd St
Fl 12
New York, NY 10016
Phone (631) 338-5184

3320 N Benzing Rd
Orchard Park, NY 14127
Phone (716) 667-2200

325 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1102

425 Essjay Rd
Ste 170
Williamsville, NY 14221
Phone (716) 630-1219

Interoperability endpoints

  • Direct secure messaging: production@direct.buffalomedicalgroup.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1316641319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ESSJAY RD STE 170",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142218235",
            "telephone_number": "716-630-1219",
            "fax_number": "716-817-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ESSJAY RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218243",
            "telephone_number": "716-630-1191",
            "fax_number": "716-250-5952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4535 Southwestern Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140751861",
            "country_code": "US",
            "telephone_number": "212-283-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Larned Ln",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141272306",
            "country_code": "US",
            "telephone_number": "716-866-7342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARL",
        "first_name": "RACHEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F311172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "production@direct.buffalomedicalgroup.com",
            "affiliation": "N",
            "address_1": "325 Essjay Rd",
            "city": "Williamsville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142218243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.