Individual provider Active NPI

Tiffany Marie Fabian, DNP

  • Adult Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1467898387
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310220 Issued in NY
Practice address
346 Delaware Ave
Buffalo, NY 14202-1804
Phone
(716) 856-7500
NPI assigned
May 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 621539-1 NY
Adult Health Nurse Practitioner 363LA2200X F310220 NY Primary

Addresses

Primary practice location

346 Delaware Ave
Buffalo, NY 14202-1804

Mailing address

612 Corporate Way Ste 2M
Valley Cottage, NY 10989-2027
Phone (718) 362-1411

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210526000179 NY Practitioner - Nurse Practitioner 3274932157 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
621539-1NYMDRegistered Nurse
F310220NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Urgent Care CurrentSince May 1, 2021 Accepting new patients

Locations

3117 Military Rd
Niagara Falls, NY 14304
Phone (716) 257-1254

3117 Military Rd
#2
Niagara Falls, NY 14304
Phone (716) 257-1254

Interoperability endpoints

  • Direct secure messaging: tiffany.fabian.1@29290.direct.athenahealth.com
  • Direct secure messaging: tfabian@sommedicalpractice.medentdirect.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1467898387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY STE 2M",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892027",
            "telephone_number": "718-362-1411",
            "fax_number": "718-362-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021804",
            "telephone_number": "716-856-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIAN",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-19",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "621539-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.