Individual provider Active NPI

Andrew Bodkin Smith, FNP

  • Family Nurse Practitioner
  • West Seneca, NY
National Provider Identifier
1730710781
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345460 Issued in NY
Practice address
550 Orchard Park Rd Ste B103
West Seneca, NY 14224-2655
Phone
(716) 677-5005
Fax
(716) 712-0160
NPI assigned
Jan 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 716953 NY
Family Nurse Practitioner 363LF0000X 345460 NY Primary

Addresses

Primary practice location

550 Orchard Park Rd Ste B103
West Seneca, NY 14224-2655

Mailing address

550 Orchard Park Rd Ste A105
West Seneca, NY 14224-2654
Phone (716) 677-6000

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
I20200323001201 NY Practitioner - Nurse Practitioner 9638507825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University at Buffalo Neurosurgery IncGroup PAC ID 0143124719, 70 clinicians

Practice addresses (Care Compare)

5959 Big Tree Rd
Orchard Park, NY 14127-2291
Phone (716) 218-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
716953NYMDRegistered Nurse
345460NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University at Buffalo Neurosurgery, Inc. CurrentSince Mar 6, 2025 Accepting new patients
University at Buffalo Neurosurgery, Inc. CurrentSince Mar 6, 2025 Accepting new patients

Locations

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

5959 Big Tree Rd
Orchard Park, NY 14127
Phone (716) 260-1593

5959 Big Tree Rd
Ste 103
Orchard Park, NY 14127

40 George Karl Blvd
Williamsville, NY 14221
Phone (716) 218-1050

40 George Karl Blvd
Ste 200
Williamsville, NY 14221
Phone (715) 218-1000

Interoperability endpoints

  • Direct secure messaging: asmith@ubns.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1730710781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD STE A105",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242654",
            "telephone_number": "716-677-6000",
            "fax_number": "716-677-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD STE B103",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242655",
            "telephone_number": "716-677-5005",
            "fax_number": "716-712-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREW",
        "middle_name": "BODKIN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "716953",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

Verify at the official NPI Registry.