Individual provider Active NPI

Wadzanayi Molife-Pether

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1699513713
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405043 Issued in NY
Practice address
144 Genesee St
Buffalo, NY 14203-1560
Phone
(716) 706-2112
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405043 NY Primary

Addresses

Primary practice location

144 Genesee St
Buffalo, NY 14203-1560

Mailing address

144 Genesee St
Buffalo, NY 14203-1560

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
I20250708004163 NY Practitioner - Nurse Practitioner 9739693151 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Apr 18, 2025 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Mount St. Mary'S Hospital of Niagara Falls CurrentSince Apr 18, 2025 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Apr 18, 2025 Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

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

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

Organizations & group practices 5

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1699513713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 GENESEE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 GENESEE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031560",
            "telephone_number": "716-706-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLIFE-PETHER",
        "first_name": "WADZANAYI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.