NPIMap

Individual provider Active NPI

Janice M Gennocro, NP

  • Nurse Practitioner
  • Amherst, NY
National Provider Identifier
1790364131
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F347137-01 Issued in NY
Practice address
3950 E Robinson Rd Ste 109
Amherst, NY 14228-2042
Phone
(716) 629-3338
Fax
(716) 304-6571
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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 F347137-01 NY Primary

Addresses

Primary practice location

3950 E Robinson Rd Ste 109
Amherst, NY 14228-2042

Mailing address

6941 Williams Rd
Niagara Falls, NY 14304-3022
Phone (716) 629-3338

Other practice location 1

3671 Southwestern Blvd Ste 207
Orchard Park, NY 14127-1749
Phone (716) 629-3338

Other practice location 2

505 Delaware Ave Fl 2
Buffalo, NY 14202-1309
Phone (716) 629-3338

Other practice location 3

6941 Williams Rd
Niagara Falls, NY 14304-3022
Phone (716) 629-3338

Other practice location 4

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Other identifiers 1

IdentifierTypeStateIssuer
F347137-01OtherLICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL MEDENT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211101000317 NY Practitioner - Nurse Practitioner 1254729882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

3030 Orchard Park Rd
Suite B
West Seneca, NY 14224-4667
Phone (716) 671-2507

3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F347137-01NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Wny PC CurrentSince Mar 3, 2025 Accepting new patients
Trinity Medical Wny PC Current Accepting new patients
Roswell Park Cancer Institute CurrentSince Dec 13, 2021 Accepting new patients
Roswell Park Cancer Institute CurrentSince Dec 13, 2021 Accepting new patients
Trinity Medical Wny PC CurrentSince Mar 3, 2025 Accepting new patients

Locations

Dept 8000
Buffalo, NY 14267

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

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

Elm and Carlton St
Buffalo, NY 14263

260 Center Rd
West Seneca, NY 14224
Phone (716) 895-4400

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.

Hospital & facility affiliations 11

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": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1790364131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6941 WILLIAMS RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043022",
            "telephone_number": "716-629-3338",
            "fax_number": "716-304-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 E ROBINSON RD STE 109",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282042",
            "telephone_number": "716-629-3338",
            "fax_number": "716-304-6571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3671 Southwestern Blvd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271749",
            "country_code": "US",
            "telephone_number": "716-629-3338",
            "fax_number": "716-304-6571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Delaware Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142021309",
            "country_code": "US",
            "telephone_number": "716-629-3338",
            "fax_number": "716-304-6571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6941 Williams Rd",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143043022",
            "country_code": "US",
            "telephone_number": "716-629-3338",
            "fax_number": "716-304-6571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Elm and Carlton St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142630001",
            "country_code": "US",
            "telephone_number": "716-845-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENNOCRO",
        "first_name": "JANICE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F347137-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "F347137-01",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MEDENT",
            "affiliation": "N",
            "address_1": "6941 Williams Rd",
            "city": "Niagara Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "143043022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.