Individual provider Active NPI

Nancy Czyrny Ebling, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Orchard Park, NY
National Provider Identifier
1619920428
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
219755 Issued in NY
Practice address
3669 Southwestern Blvd
Mercy Ambulatory Care Center
Orchard Park, NY 14127-4834
Phone
(716) 688-2154
Fax
(716) 204-4501
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 219755 NY Primary

Addresses

Primary practice location

3669 Southwestern Blvd
Mercy Ambulatory Care Center
Orchard Park, NY 14127-4834

Mailing address

6653 Main St
Williamsville, NY 14221-5906
Phone (716) 688-2154

Other identifiers 1

IdentifierTypeStateIssuer
02187295MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040809001135 NY Practitioner - Internal Medicine 3577535707 Reassigns benefits to 4 organizations
I20190213002013 FL Practitioner - Emergency Medicine 3577535707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as group
Quality
76.13
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219755NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University Emergency Medical Services Inc. CurrentSince Aug 1, 2017 Accepting new patients
Emergency Physician Services of New York, P.C. CurrentSince Aug 1, 2016 Accepting new patients
Small Hospital Innovations LLC CurrentSince Jun 1, 2019 Accepting new patients
St James Hospital CurrentSince Aug 1, 2014 Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
Buffalo Emergency Associates LLP CurrentSince Feb 7, 2010 Accepting new patients
Exigence Hospitalist Medical Services of Western New York, PLLC PastSince May 1, 2008 Accepting new patients
John a. Brach, MD, PC Past Accepting new patients

Locations

900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

411 Canisteo St
Hornell, NY 14843
Phone (607) 324-8000

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

3669 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 662-0500

5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

6653 Main St
Williamsville, NY 14221
Phone (716) 881-4247

Organizations & group practices 8

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1619920428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6653 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215906",
            "telephone_number": "716-688-2154",
            "fax_number": "716-204-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3669 SOUTHWESTERN BLVD",
            "address_2": "MERCY AMBULATORY CARE CENTER",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274834",
            "telephone_number": "716-688-2154",
            "fax_number": "716-204-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBLING",
        "first_name": "NANCY",
        "middle_name": "CZYRNY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "219755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02187295",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.