Active NPI
Noel B Ridge, P.A.
- Medical Physician Assistant
- Orchard Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5768866
- Practice address
- 3900 N Buffalo St
Orchard Park, NY 14127-1842 - Phone
- (716) 630-1000
- NPI assigned
- Nov 11, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5768866 | NY | Primary |
Addresses
Primary practice location
3900 N Buffalo St
Orchard Park, NY 14127-1842
Mailing address
425 Essjay Rd Ste 170
Williamsville, NY 14221-8235
Phone (716) 630-1219
Other practice location 1
3345 Southwestern Blvd
Orchard Park, NY 14127-1506
Phone (716) 656-4806
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02820817 | Medicaid | NY | |
| 00027799901 | Other | NY | UNIVERA |
| 000528923001 | Other | NY | HEALTH NOW |
| 9514042 | Other | NY | INDEPENDENT HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | production@direct.buffalomedicalgroup.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3900 N Buffalo St
Orchard Park, NY 14127-1842
Phone (716) 630-1000
Hospital & facility affiliations
- Sisters of Charity Hospital
- Mercy Hospital of Buffalo
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011397 | NY | MD | Chiropractor |
| 5768866 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Medical Group, P.C. | Current | Accepting new patients | |
| Buffalo Medical Group, P.C. | Current | Accepting new patients |
Locations
85 High St
Buffalo, NY 14203
Phone (716) 857-8623
3345 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 656-4825
3900 N Buffalo St
Orchard Park, NY 14127
Phone (716) 630-1112
6255 Sheridan Dr
Ste 304
Williamsville, NY 14221
Phone (716) 857-8666
425 Essjay Rd
Ste 170
Williamsville, NY 14221
Phone (716) 630-1219
6255 Sheridan Dr
Williamsville, NY 14221
Phone (716) 857-8666
Interoperability endpoints
- production@direct.buffalomedicalgroup.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.
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1881659506
-
- Durable Medical Equipment & Medical Supplies
- Lockport, NY
- NPI 1982566782
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1508937798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ESSJAY RD STE 170",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218235",
"telephone_number": "716-630-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 N BUFFALO ST",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271842",
"telephone_number": "716-630-1000"
}
],
"practiceLocations": [
{
"address_1": "3345 Southwestern Blvd",
"address_purpose": "LOCATION",
"city": "Orchard Park",
"state": "NY",
"postal_code": "141271506",
"country_code": "US",
"telephone_number": "716-656-4806",
"fax_number": "716-250-5926",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIDGE",
"first_name": "NOEL",
"middle_name": "B",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-11",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "5768866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02820817",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00027799901",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW",
"identifier": "000528923001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "9514042",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "production@direct.buffalomedicalgroup.com",
"affiliation": "N",
"address_1": "3900 N Buffalo St",
"city": "Orchard Park",
"state": "NY",
"country_code": "US",
"postal_code": "141271842",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.