Active NPI
Destiny S Ciemny, AGPCNP-BC DNP
- Adult Health Nurse Practitioner
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F309103-1
- Practice address
- 462 Grider St
Buffalo, NY 14215-3098 - Phone
- (716) 898-3000
- NPI assigned
- Mar 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F309103-1 | NY | Primary |
Addresses
Primary practice location
462 Grider St
Buffalo, NY 14215-3098
Mailing address
6215 Tonawanda Creek Rd Apt 5
Lockport, NY 14094-7906
Phone (716) 628-8098
Other practice location 1
Elm and Carlton Streets
Buffalo, NY 14263-0001
Phone (716) 845-2300
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
462 Grider St
Buffalo, NY 14215-3021
Phone (716) 898-3000
Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300
Hospital & facility affiliations
- Erie County Medical Center
- Roswell Park Cancer Institute
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F309103-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Internist & Associates LLC | Current | Accepting new patients | |
| Erie County Medical Center Corporation | Current | Accepting new patients | |
| Roswell Park Cancer Institute | Current | Accepting new patients | |
| Erie County Medical Center Corporation | Current | Accepting new patients | |
| Roswell Park Cancer Institute | Current | Accepting new patients |
Locations
Dept 8000
Buffalo, NY 14267
Elm and Carlton St
Buffalo, NY 14263
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613
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 and National Provider Directory roles.
-
- Clinic/Center
- Buffalo, NY
- NPI 1528233616
-
- Multi-Specialty Clinic/Center
- Buffalo, NY
- NPI 1720036593
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1134381031
-
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1922768621
-
- Pharmacy
- Williamsville, NY
- NPI 1871379586
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1437197985
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1548315401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1356809263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6215 TONAWANDA CREEK RD APT 5",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140947906",
"telephone_number": "716-628-8098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 GRIDER ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142153098",
"telephone_number": "716-898-3000"
}
],
"practiceLocations": [
{
"address_1": "Elm and Carlton Streets",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "142630001",
"country_code": "US",
"telephone_number": "716-845-2300",
"fax_number": "716-845-8838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CIEMNY",
"first_name": "DESTINY",
"middle_name": "S",
"credential": "AGPCNP-BC DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-10",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F309103-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.