Robert C Dundon Jr., FNP
Individual provider Active NPI Family Nurse Practitioner · Alden, NY
NPI 1376970632 · NPPES record last updated Sep 13, 2019
Key facts
- NPI
- 1376970632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 338322 (NY)
- Practice address
- 12705 Uebelhoer Rd
Alden, NY 14004 - Phone
- (716) 983-6079
- NPI assigned
- Oct 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Excelsior Orthopaedics LLP
Practice addresses (Care Compare)
3925 Sheridan Dr
Amherst, NY 14226-1738
Phone (716) 250-9999
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.79 of 100
- Quality
- 89.94
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 82.5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141024001848 | NY | Practitioner - Nurse Practitioner | 3072734516 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338322 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelsior Orthopaedics LLP | Current |
Accepting new patients | |
| Excelsior Orthopaedics, LLP | Current |
Accepting new patients |
Locations
3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500
3925 Sheridan Dr
Ste 100
Buffalo, NY 14226
Phone (716) 250-6492
8750 Transit Rd
Ste 120
East Amherst, NY 14051
Phone (716) 568-1251
8750 Transit Rd
Ste 105
East Amherst, NY 14051
Phone (716) 636-1470
6133 Route 219 S
Ste 1001
Ellicottville, NY 14731
Phone (716) 636-1470
Interoperability endpoints
- rdundon@excelsiorortho.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 338322 | NY | Yes |
Addresses
Primary practice location
12705 Uebelhoer Rd
Alden, NY 14004
Mailing address
3925 Sheridan Dr
Ste 100
Amherst, NY 14226-1738
Phone (716) 250-6492
Other providers in Alden, NY
- Stephanie Daley
- Dawn Schmidt
- Donovan Chiropractic Wellness
- Frankie Donovan
- Dr. Stephanie Pautler-Bea, D.C., P.C.
- Roxanne M Dziedzic
- Eckerd Corporation
- Julianne Marie Farrell
- Emily Fischer
- Jennifer Jaye Fisher
All providers in Alden, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.