Active NPI
Judy A Pasciak, N.P.
- Nurse Practitioner
- Buffalo, NY
National Provider Identifier
1669496139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 420382
- Practice address
- 2157 Main St
Buffalo, NY 14214-2648 - Phone
- (716) 862-1984
- Fax
- (716) 862-1981
- NPI assigned
- Jul 27, 2006
- Last updated
- Jan 11, 2012
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 420382 | NY | Primary |
Addresses
Primary practice location
2157 Main St
Buffalo, NY 14214-2648
Mailing address
2157 Main St
Buffalo, NY 14214-2648
Phone (716) 862-1984
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9512407 | Other | NY | INDEPENDENT HEALTH |
| 00026704101 | Other | NY | 00026704101 |
| 000560299001 | Other | NY | BLUE CROSS OF WNY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Central and Western New York, Inc | Current | Accepting new patients |
Locations
732 Portage Rd
Niagara Falls, NY 14301
Phone (716) 282-1221
15 Webster St
North Tonawanda, NY 14120
Phone (716) 694-1225
114 University Ave
Rochester, NY 14605
Phone (585) 546-2771
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- judy.pasciak.p4@direct.usppny.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Family Planning Facility
- Rochester, NY
- NPI 1306909957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1669496139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2157 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142142648",
"telephone_number": "716-862-1984",
"fax_number": "716-862-1981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2157 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142142648",
"telephone_number": "716-862-1984",
"fax_number": "716-862-1981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCIAK",
"first_name": "JUDY",
"middle_name": "A",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "420382",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "9512407",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "00026704101",
"identifier": "00026704101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF WNY",
"identifier": "000560299001",
"state": "NY"
}
],
"endpoints": [],
"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 Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.