Individual provider Active NPI

Azadeh Hassan-Tehrani, FNP

  • Family Nurse Practitioner
  • Amherst, NY
National Provider Identifier
1598371130
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346620 Issued in NY
Practice address
3980A Sheridan Dr Ste 200
Amherst, NY 14226-1741
Phone
(716) 309-4772
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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 611615 NY
Family Nurse Practitioner 363LF0000X 346620 NY Primary

Addresses

Primary practice location

3980A Sheridan Dr Ste 200
Amherst, NY 14226-1741

Mailing address

PO Box 488
Buffalo, NY 14240-0488
Phone (866) 853-9551

Other practice location 1

726 Exchange St Ste 710
Buffalo, NY 14210-1464
Phone (716) 852-4772

Other identifiers 1

IdentifierTypeStateIssuer
06186727MedicaidNY

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
I20201113001316 NY Practitioner - Nurse Practitioner 2163832510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

3980 Sheridan Dr
Amherst, NY 14226-1727
Phone (716) 961-9900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
611615NYMDRegistered Nurse
346620NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
General Physician, PC CurrentSince Oct 12, 2020 Accepting new patients
General Physician, PC CurrentSince Nov 17, 2024 Accepting new patients
Kaleida Health PastSince Sep 1, 2020 Accepting new patients

Locations

1031 Michigan Ave
Buffalo, NY 14203
Phone (716) 686-8460

3980A Sheridan Dr
Buffalo, NY 14226
Phone (716) 833-2200

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

1014 Delaware Ave
Buffalo, NY 14209
Phone (716) 361-8616

100 High St
#B2
Buffalo, NY 14203
Phone (716) 859-1256

3980A Sheridan Dr
Ste 200
Buffalo, NY 14226
Phone (716) 309-4772

726 Exchange St
Ste 710
Buffalo, NY 14210
Phone (716) 343-3016

3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515

5775 Maelou Dr
Hamburg, NY 14075
Phone (716) 648-2820

104 Old Niagara Rd
Lockport, NY 14094
Phone (716) 434-6093

5959 Big Tree Rd
Orchard Park, NY 14127
Phone (716) 260-1593

5959 Big Tree Rd
Ste 102
Orchard Park, NY 14127
Phone (716) 422-5677

3980 Sheridan Dr
Snyder, NY 14226
Phone (716) 929-2800

1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514

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.

Hospital & facility affiliations 6

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1598371130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142400488",
            "telephone_number": "866-853-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980A SHERIDAN DR STE 200",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261741",
            "telephone_number": "716-309-4772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 Exchange St Ste 710",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142101464",
            "country_code": "US",
            "telephone_number": "716-852-4772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN-TEHRANI",
        "first_name": "AZADEH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "611615",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06186727",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.