Active NPI
Melissa Rubadeaux, NP
- Women's Health Nurse Practitioner
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- F42074301
- Practice address
- 608 William St
Buffalo, NY 14206-1649 - Phone
- (716) 858-7049
- Fax
- (716) 585-2127
- NPI assigned
- Nov 20, 2006
- Last updated
- Nov 7, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | F42074301 | NY | Primary |
Addresses
Primary practice location
608 William St
Buffalo, NY 14206-1649
Mailing address
608 William St
Buffalo, NY 14206-1649
Phone (716) 858-7049
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160746860 | Other | UNIVERA | |
| 9512834 | Other | IHA | |
| 500560925001 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F42074301 | NY | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Erie Comptrollers Office | Current | Accepting new patients | |
| County of Erie Comptrollers Office | Current | Accepting new patients | |
| Planned Parenthood of Central and Western New York, Inc | Women's Health | Current | Accepting new patients |
Locations
222 W Main St
Batavia, NY 14020
Phone (585) 344-0516
60 E Amherst St
Buffalo, NY 14214
Phone (716) 831-2200
608 William St
Buffalo, NY 14206
Phone (716) 855-1384
95 Franklin St
Rm 906
Buffalo, NY 14202
15 Lafayette Ave
Canandaigua, NY 14424
Phone (585) 344-0631
750 Portage Rd
Niagara Falls, NY 14301
Phone (716) 831-2200
15 Webster St
North Tonawanda, NY 14120
Phone (716) 694-1225
114 University Ave
Rochester, NY 14605
Phone (585) 546-2771
1120 E Genesee St
Syracuse, NY 13210
Phone (315) 475-5540
240 Center Rd
West Seneca, NY 14224
Phone (716) 675-1012
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- melissa.rubadeaux.p4@direct.usppny.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Erie County Department of Health
- Public Health or Welfare Agency
- Buffalo, NY
- NPI 1134210313
-
- Land Ambulance
- Amherst, NY
- NPI 1194560920
-
- Ambulatory Family Planning Facility
- Rochester, NY
- NPI 1306909957
Women's Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415318400000",
"number": "1376617605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 WILLIAM ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142061649",
"telephone_number": "716-858-7049",
"fax_number": "716-585-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 WILLIAM ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142061649",
"telephone_number": "716-858-7049",
"fax_number": "716-585-2127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBADEAUX",
"first_name": "MELISSA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2014-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "F42074301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "160746860",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "9512834",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "500560925001",
"state": null
}
],
"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 Nov 7, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.