Western New York Integrated Care Collaborative

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE

Practice address

742 Delaware Ave
Buffalo, NY 14209-2202

Phone

(716) 431-5100

NPI assigned

Aug 13, 2024

Last updated

Aug 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole KmicinskiNPI 1093193468

Title

Executive Director

Phone

(716) 431-5100

Specialties & licenses 1

Addresses

Tax ID family

Western New York Integrated Care Collaborative Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Western New York Integrated Care Collaborative, Inc.

  • Health Educator
  • Buffalo, NY
  • NPI 1447131545
  NPD tax ID
• Western New York Integrated Care Collaborative, Inc.

  • Health Educator
  • Buffalo, NY
  • NPI 1518574060
  NPD tax ID
• Western New York Integrated Care Collaborative, Inc.

  • Registered Dietitian
  • Buffalo, NY
  • NPI 1881101954
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Kmicinski, RD, CDN

  • Registered Dietitian
  • Buffalo, NY
  • NPI 1093193468
  Authorized official Same address or phone

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1316778152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092202",
            "telephone_number": "716-431-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092202",
            "telephone_number": "716-431-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "KMICINSKI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-431-5100"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western New York Dental Group,PC
• Western New York Diagnostics LLC
• Western New York Hospitalist Group PC
• Western New York Independent Living, Inc. (Independent Living of Niagara County)
• Western New York Independent Living, Inc.
• Western New York Integrated Care Collaborative, Inc.
• Western New York Integrated Care Collaborative, Inc.
• Western New York Integrated Care Collaborative, Inc.
• Western New York Meidtrans LLC,
• Western New York MRI LLP

• Case Management Agency in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.