Active NPI
Sheila Novelli Tober, RPA-C
- Medical Physician Assistant
- West Seneca, NY
National Provider Identifier
1699089987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 23014105
- Practice address
- 1026 Union Rd
West Seneca, NY 14224-3445 - Phone
- (716) 712-0851
- NPI assigned
- Jul 29, 2010
- 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 | 23014105 | NY | Primary |
Addresses
Primary practice location
1026 Union Rd
West Seneca, NY 14224-3445
Mailing address
6109 Thornwood Dr
Hamburg, NY 14075-7302
Phone (716) 481-0063
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014105 | NY | MD | Occupational Therapist |
| 23014105 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Synapse Support, LLC | Past | Accepting new patients | |
| John P. Ward | Past | Accepting new patients |
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.
-
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- East Aurora, NY
- NPI 1578833323
-
- Family Medicine Physician
- East Aurora, NY
- NPI 1902093800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335657600000",
"number": "1699089987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6109 THORNWOOD DR",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140757302",
"telephone_number": "716-481-0063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 UNION RD",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142243445",
"telephone_number": "716-712-0851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBER",
"first_name": "SHEILA",
"middle_name": "NOVELLI",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-29",
"last_updated": "2012-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "23014105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Seneca, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.