Individual provider Active NPI

Tina M Ricchiazzi, FNP-BC

  • Family Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1356880579
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340797-1 Issued in NY
Practice address
1540 Maple Rd
Williamsville, NY 14221-3647
Phone
(716) 630-1000
NPI assigned
Feb 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F340797-1 NY Primary

Addresses

Primary practice location

1540 Maple Rd
Williamsville, NY 14221-3647

Mailing address

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

Other practice location 1

100 High St
Buffalo, NY 14203-1126
Phone (716) 630-1000

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
I20170515001911 NY Practitioner - Nurse Practitioner 3577840826 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Medicine Services, Inc.Group PAC ID 0941105241, 115 clinicians
Buffalo-Niagara Hospitalists LLCGroup PAC ID 3375789050, 36 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-5600

2950 Elmwood Ave
Kenmore, NY 14217-1304
Phone (716) 447-6100

Hospital & facility affiliations

  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F340797-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaleida Health Current Accepting new patients
Kaleida Health CurrentSince Jan 7, 2018 Accepting new patients
Buffalo-Niagara Hospitalists LLC CurrentSince Sep 14, 2022 Accepting new patients
Kaleida Health CurrentSince Jan 7, 2018 Accepting new patients
Academic Medicine Services, Inc. CurrentSince Jan 1, 2020 Accepting new patients
General Physician, PC CurrentSince Apr 9, 2017 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Jan 27, 2020 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Jan 27, 2020 Accepting new patients
University at Buffalo Pathologists, Inc Current Accepting new patients
Trinity Medical Wny PC CurrentSince Apr 30, 2018 Accepting new patients
Trinity Medical Wny PC CurrentSince Apr 30, 2018 Accepting new patients

Locations

100 High St
#13282
Buffalo, NY 14203

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

462 Grider St
Fl 11
Buffalo, NY 14215
Phone (716) 898-4803

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

726 Exchange St
Ste 516
Buffalo, NY 14210

100 High St
#B2
Buffalo, NY 14203
Phone (716) 859-1256

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

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

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

521 East Ave
Lockport, NY 14094
Phone (716) 434-9111

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

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

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

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

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

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.

Hospital & facility affiliations 7

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": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1356880579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ESSJAY RD STE 170",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218235",
            "telephone_number": "716-630-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 MAPLE RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213647",
            "telephone_number": "716-630-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 High St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031126",
            "country_code": "US",
            "telephone_number": "716-630-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICCHIAZZI",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340797-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.