Active NPI
Aaron E Pack, NP
- Nurse Practitioner
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 430909
- Practice address
- 462 Grider St
12TH Floor / Apogee
Buffalo, NY 14215 - Phone
- (716) 961-6995
- Fax
- (716) 898-5193
- NPI assigned
- Nov 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 753964 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | 430909 | NY | |
| Nurse Practitioner | 363L00000X | 430909 | NY | Primary |
Addresses
Primary practice location
462 Grider St
12TH Floor / Apogee
Buffalo, NY 14215
Mailing address
8117 Preston Rd
Ste 800
Dallas, TX 75225-6332
Phone (214) 666-9608
Other practice location 1
550 1st Ave
New York, NY 10016-6402
Phone (212) 263-7302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB147237 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | apack133721@nyumc.direct-ci.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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 753964 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group, New York, PC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Buffalo Internist & Associates LLC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613
515 Main St
Olean, NY 14760
Phone (716) 373-2600
300 Community Dr
Plandome, NY 11030
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Interoperability endpoints
- apack133721@nyumc.direct-ci.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1134381031
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1598042079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8117 PRESTON RD",
"address_2": "STE 800",
"city": "DALLAS",
"state": "TX",
"postal_code": "752256332",
"telephone_number": "214-666-9608",
"fax_number": "214-764-5754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 GRIDER ST",
"address_2": "12TH FLOOR / APOGEE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14215",
"telephone_number": "716-961-6995",
"fax_number": "716-898-5193"
}
],
"practiceLocations": [
{
"address_1": "550 1st Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166402",
"country_code": "US",
"telephone_number": "212-263-7302",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PACK",
"first_name": "AARON",
"middle_name": "E",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-10",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "753964",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "430909",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "430909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TXB147237",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "apack133721@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "550 1st Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100166402",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 19, 2022; 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.