Individual provider Active NPI

Paul J Violanti, PNP/FNP

  • Family Nurse Practitioner
  • Hamburg, NY
National Provider Identifier
1750469110
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333647-1 Issued in NY
Practice address
4838 McKinley Pkwy
Hamburg, NY 14075-1037
Phone
(716) 983-6667
Fax
(716) 881-6247
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F333647-1 NY Primary
Pediatric Nurse Practitioner 363LP0200X F381062-1 NY

Addresses

Primary practice location

4838 McKinley Pkwy
Hamburg, NY 14075-1037

Mailing address

4838 McKinley Pkwy
Hamburg, NY 14075-1037
Phone (716) 983-6667

Other identifiers 1

IdentifierTypeStateIssuer
02271832MedicaidNY

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
I20160218000837 NY Practitioner - Nurse Practitioner 1153626817 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F333647-1NYMDFamily Nurse Practitioner
F381062-1NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jericho Road Ministries Inc. CurrentSince Jan 11, 2016 Accepting new patients

Locations

184 Barton St
Buffalo, NY 14213
Phone (716) 348-3000

100 E Tupper St
Buffalo, NY 14203
Phone (716) 539-6743

182 Breckenridge St
Buffalo, NY 14213
Phone (716) 348-3011

21 Doat St
Buffalo, NY 14211
Phone (716) 339-9210

1021 Broadway St
Buffalo, NY 14212
Phone (716) 529-3020

Interoperability endpoints

  • Direct secure messaging: paul.violanti@jrchc.medentdirect.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1750469110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 MCKINLEY PKWY",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751037",
            "telephone_number": "716-983-6667",
            "fax_number": "716-881-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4838 MCKINLEY PKWY",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751037",
            "telephone_number": "716-983-6667",
            "fax_number": "716-881-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLANTI",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PNP/FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333647-1",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381062-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02271832",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

Verify at the official NPI Registry.