Individual provider Active NPI

Jodi L Witman, NP

  • Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1710286141
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F336565-1 Issued in NY
Practice address
50 Lakefront Blvd
Suite 130
Buffalo, NY 14202-4345
Phone
(716) 849-8750
Fax
(716) 849-8757
NPI assigned
Mar 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F336565-1 NY Primary

Addresses

Primary practice location

50 Lakefront Blvd
Suite 130
Buffalo, NY 14202-4345

Mailing address

50 Lakefront Blvd
Suite 130
Buffalo, NY 14202-4345
Phone (716) 849-8750

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
I20120302000156 NY Practitioner - Nurse Practitioner 3971762410 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wny Medical PCGroup PAC ID 9335191733, 44 clinicians
Sisters of Charity Hospital of Buffalo New YorkGroup PAC ID 6204749153, 160 clinicians

Practice addresses (Care Compare)

4979 Harlem Rd
Amherst, NY 14226-2547
Phone (716) 923-4380

6199 Transit Rd
Depew, NY 14043-1024
Phone (716) 601-3690

Hospital & facility affiliations

  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F336565-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wny Medical PC Nurse Practitioner CurrentSince Aug 1, 2020 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jan 6, 2025 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Jan 6, 2025 Accepting new patients
Mercy Hospital of Buffalo Nurse Practitioner CurrentSince Jan 6, 2025 Accepting new patients
Elder Medical Services PC CurrentSince Feb 6, 2012 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Infinite Medical PC Nurse Practitioner CurrentSince May 1, 2021 Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Jan 6, 2025 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

135 Grant St
Buffalo, NY 14213
Phone (716) 881-4300

64 Hager St
Buffalo, NY 14208
Phone (716) 886-4377

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

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

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

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

3884 Broadway St
Cheektowaga, NY 14227
Phone (716) 681-9000

132 Cayuga Rd
Ste 1C
Cheektowaga, NY 14225
Phone (716) 204-9711

6199 Transit Rd
Depew, NY 14043
Phone (716) 206-0390

6970 Erie Rd
Ste A
Derby, NY 14047
Phone (716) 947-9147

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

2235 Millersport Hwy
Getzville, NY 14068
Phone (716) 504-1000

3333 Elmwood Ave
Kenmore, NY 14217
Phone (716) 874-1566

2600 S Park Ave
Lackawanna, NY 14218
Phone (716) 822-2028

3320 N Benzing Rd
Orchard Park, NY 14127
Phone (716) 667-2200

3595 Eggert Rd
Orchard Park, NY 14127
Phone (716) 662-2478

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.

Hospital & facility affiliations 3

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": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1710286141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LAKEFRONT BLVD",
            "address_2": "SUITE 130",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024345",
            "telephone_number": "716-849-8750",
            "fax_number": "716-849-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LAKEFRONT BLVD",
            "address_2": "SUITE 130",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142024345",
            "telephone_number": "716-849-8750",
            "fax_number": "716-849-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITMAN",
        "first_name": "JODI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F336565-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.