Individual provider Active NPI

Paula Brudo Jurek, NP

  • Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1376502609
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F330893 Issued in NY
Practice address
65 Lawrence Bell Dr Ste 102
Williamsville, NY 14221-7182
Phone
(716) 276-8375
Fax
(716) 276-8381
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F330893 NY Primary

Addresses

Primary practice location

65 Lawrence Bell Dr Ste 102
Williamsville, NY 14221-7182

Mailing address

206 S Elmwood Ave
Buffalo, NY 14201-2398
Phone (716) 847-0212

Other identifiers 2

IdentifierTypeStateIssuer
9512279OtherNYINDEPENDENT HEALTH ASSC
000560119003OtherNYBC WESTERN NY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F330893NYMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376502609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142012398",
            "telephone_number": "716-847-0212",
            "fax_number": "716-541-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LAWRENCE BELL DR STE 102",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217182",
            "telephone_number": "716-276-8375",
            "fax_number": "716-276-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUDO JUREK",
        "first_name": "PAULA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F330893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH ASSC",
            "identifier": "9512279",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC WESTERN NY",
            "identifier": "000560119003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.