Individual provider Active NPI

Tiffany Tomoko Nakajima, CNM

  • Midwife
  • Buffalo, NY
National Provider Identifier
1356832778
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
001743 Issued in NY
Practice address
565 Abbott Rd
Buffalo, NY 14220-2095
Phone
(716) 826-7000
NPI assigned
May 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 001743 NY Primary

Addresses

Primary practice location

565 Abbott Rd
Buffalo, NY 14220-2095

Mailing address

2491 Emery Rd
South Wales, NY 14139-9408

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180905003350 NY Practitioner - Certified Nurse Midwife (CNM) 0143570531 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

550 Orchard Park Rd
Suite B100
West Seneca, NY 14224-2654
Phone (716) 862-2542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001743NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Nov 1, 2020 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Nov 1, 2020 Accepting new patients
Kenmore Mercy Hospital CurrentSince Nov 1, 2020 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Jul 15, 2018 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Mercy Hospital of Buffalo CurrentSince Jul 15, 2018 Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Nov 1, 2020 Accepting new patients
Trinity Medical Wny PC CurrentSince Nov 22, 2022 Accepting new patients
Trinity Medical Wny PC CurrentSince Nov 22, 2022 Accepting new patients
Trinity Medical Wny PC Current Accepting new patients
Kenmore Mercy Hospital CurrentSince Nov 1, 2020 Accepting new patients

Locations

515 Abbott Rd
Ste 302
Buffalo, NY 14220
Phone (716) 828-3520

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

Organizations & group practices 11

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": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1356832778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2491 EMERY RD",
            "city": "SOUTH WALES",
            "state": "NY",
            "postal_code": "141399408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ABBOTT RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202095",
            "telephone_number": "716-826-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAJIMA",
        "first_name": "TIFFANY",
        "middle_name": "TOMOKO",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "001743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.