Individual provider Active NPI

Matthew Robert Jones, DO

  • Student in an Organized Health Care Education/Training Program
  • Buffalo, NY
National Provider Identifier
1427634880
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
30 N Union Rd
Buffalo, NY 14221-5367
Phone
(716) 839-8000
Fax
(716) 839-8009
NPI assigned
Mar 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

30 N Union Rd
Buffalo, NY 14221-5367

Mailing address

2507 Cayuga St
Niagara Falls, NY 14304-4503
Phone (716) 799-2945

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911001964 NY Practitioner - Family Practice 5193265692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care of Western New York LLPGroup PAC ID 5193746832, 36 clinicians

Practice addresses (Care Compare)

2350 Maple Rd
Suite 100
Williamsville, NY 14221-4080
Phone (716) 839-8000

Hospital & facility affiliations

  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
330372NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Western New York LLP Single Specialty CurrentSince Sep 4, 2024 Accepting new patients
Digestive Health Physicians, P.C. Single Specialty Past Accepting new patients

Locations

2780 Delaware Ave
Ste 201
Kenmore, NY 14217
Phone (716) 839-8000

30 N Union Rd
Ste 102
Williamsville, NY 14221
Phone (716) 839-8000

2350 Maple Rd
Ste 100
Williamsville, NY 14221
Phone (716) 688-6500

30 N Union Rd
Williamsville, NY 14221
Phone (716) 633-6363

Interoperability endpoints

  • Direct secure messaging: matthewj@primarycarewny.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1427634880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 CAYUGA ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044503",
            "telephone_number": "716-799-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N UNION RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142215367",
            "telephone_number": "716-839-8000",
            "fax_number": "716-839-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.