Active NPI
Trudy Stern, NP
- Adult Health Nurse Practitioner
- N Tonawanda, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F360120
- Practice address
- 533 Meadow Dr # 2
N Tonawanda, NY 14120-2835 - Phone
- (716) 692-3302
- Fax
- (716) 692-4342
- NPI assigned
- Feb 1, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F360120 | NY | Primary |
Addresses
Primary practice location
533 Meadow Dr # 2
N Tonawanda, NY 14120-2835
Mailing address
908 Niagara Falls Blvd
Suite 208
N Tonawanda, NY 14120-2019
Phone (716) 692-3302
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F360120 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Academic Medicine Services, Inc. | Current | Accepting new patients | |
| Eastern Great Lakes Pathology PC | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo, New York | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Current | Accepting new patients | |
| Olivia Smith-Blackwell MD PC | Past | Accepting new patients |
Locations
1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 961-9900
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
301 Connecticut St
Buffalo, NY 14213
Phone (716) 862-2572
4498 Main St
Ste 23
Buffalo, NY 14226
Phone (716) 558-6629
462 Grider St
Fl 11
Buffalo, NY 14215
Phone (716) 898-4803
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613
Organizations & group practices 6
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 UBMD Internal Medicine
- Internal Medicine Physician
- Williamsville, NY
- NPI 1255394763
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
-
- Anatomic Pathology & Clinical Pathology Physician
- Buffalo, NY
- NPI 1467481564
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
dba Sisters OB GYN Services
- Obstetrics & Gynecology Physician
- Buffalo, NY
- NPI 1659396380
-
dba Meadow Family Medicine
- Family Medicine Physician
- North Tonawanda, NY
- NPI 1609802867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386782639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 NIAGARA FALLS BLVD",
"address_2": "SUITE 208",
"city": "N TONAWANDA",
"state": "NY",
"postal_code": "141202019",
"telephone_number": "716-692-3302",
"fax_number": "716-692-4342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 MEADOW DR # 2",
"city": "N TONAWANDA",
"state": "NY",
"postal_code": "141202835",
"telephone_number": "716-692-3302",
"fax_number": "716-692-4342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "TRUDY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F360120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in N Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.