Individual provider Active NPI

James D Stoltzfus Jr., MD

  • Family Medicine Physician
  • Buffalo, NY
National Provider Identifier
1750720538
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
284936 Issued in NY
Practice address
184 Barton St
Sublevel 1
Buffalo, NY 14213-1573
Phone
(716) 881-6191
Fax
(716) 881-6247
NPI assigned
Jun 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT205128 PA
Family Medicine Physician 207Q00000X 284936 NY Primary

Addresses

Primary practice location

184 Barton St
Sublevel 1
Buffalo, NY 14213-1573

Mailing address

184 Barton St
Sublevel 1
Buffalo, NY 14213-1573
Phone (716) 881-6191

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160802002126 NY Practitioner - Family Practice 2769622620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jericho Road Ministries, Inc.Group PAC ID 5597992933, 33 clinicians

Practice addresses (Care Compare)

184 Barton St
Buffalo, NY 14213-1573
Phone (716) 348-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jericho Road Ministries Inc. CurrentSince May 22, 2016 Accepting new patients
Jericho Road Ministries Inc. CurrentSince May 22, 2016 Accepting new patients
Kaleida Health Past 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

184 Barton St
Ste 1
Buffalo, NY 14213
Phone (716) 881-6191

Interoperability endpoints

  • Direct secure messaging: james.stoltzfus@jrchc.medentdirect.com

Organizations & group practices 3

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1750720538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 BARTON ST",
            "address_2": "SUBLEVEL 1",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131573",
            "telephone_number": "716-881-6191",
            "fax_number": "716-881-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 BARTON ST",
            "address_2": "SUBLEVEL 1",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131573",
            "telephone_number": "716-881-6191",
            "fax_number": "716-881-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLTZFUS",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT205128",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "284936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.