Active NPI
Judy Ali
- Community Health Worker
- Buffalo, NY
National Provider Identifier
1396294856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 340281
- Practice address
- 69 Delaware Ave
Buffalo, NY 14202-3812 - Phone
- (716) 852-5900
- Fax
- (716) 852-5913
- NPI assigned
- Sep 26, 2016
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 340281 | NY | Primary |
Addresses
Primary practice location
69 Delaware Ave
Buffalo, NY 14202-3812
Mailing address
308 Pine Ridge Rd
Cheektowaga, NY 14225-3919
Phone (716) 892-2986
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1396294856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 PINE RIDGE RD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142253919",
"telephone_number": "716-892-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142023812",
"telephone_number": "716-852-5900",
"fax_number": "716-852-5913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "JUDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-26",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NY",
"license": "340281",
"primary": true
}
],
"identifiers": [],
"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 Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.