NPIMap

Organization Active NPI

Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
National Provider Identifier
1790727543
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1401013H Issued in NY
Legal business name
SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK
Practice address
2157 Main St
Buffalo, NY 14214-2648
Phone
(716) 862-1000
NPI assigned
Jun 12, 2006
Last updated
Sep 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Peter Bergmann
Title
President/Ceo
Phone
(716) 862-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1401013H NY Primary

Addresses

Primary practice location

2157 Main St
Buffalo, NY 14214-2648

Mailing address

2157 Main St
Buffalo, NY 14214-2648
Phone (716) 862-1000

Other identifiers 5

IdentifierTypeStateIssuer
00354563MedicaidNY
050OtherNYHEALTHNOW
0001413501OtherNYUNIVERA HEALTHCARE
24OtherNYINDEPENDENT HEALTH
04041000066OtherNYFIDELIS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031107000200 NY Part A Provider - Hospital 6204749153 1 other NPI on this enrollment
Practice locations: Buffalo, NY; Williamsville, NY; West Seneca, NY; Rochester, NY; Niagara Falls, NY; Lackawanna, NY; Kenmore, NY; Hamburg, NY…
O20031126000557 NY Part B Supplier - Clinic/Group Practice 6204749153 Receives reassigned benefits from 629 practitioners
3 other NPIs on this enrollment
Practice locations: Rochester, NY; Lackawanna, NY; Kenmore, NY; Buffalo, NY; Depew, NY; Cheektowaga, NY; Amherst, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790727543. Details of each certification follow.

Hospital certification: CCN 330078

Legal name
SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 21, 2024
Beds
413
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 3, 1849 in NY
Enrollment address
2157 Main St
Buffalo, NY 14214-2648
Other Hospital Practice Location
Hospital subgroups
Acute care, Rehabilitation

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Sisters of Charity HospitalCCN 330078 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

8011 Osceola Polk Line Rd
Davenport, FL 33896
Phone (321) 841-6308

210 John Glenn Dr
Amherst, NY 14228
Phone (716) 862-2059

158 Holden St
Buffalo, NY 14214
Phone (716) 834-0282

2121 Main St
Ste 100
Buffalo, NY 14214
Phone (716) 422-5422

2157 Main St
#4
Buffalo, NY 14214

2157 Main St
#55
Buffalo, NY 14214

2157 Main St
#X
Buffalo, NY 14214

2157 Main St
Fl 1
Buffalo, NY 14214
Phone (716) 862-1984

2157 Main St
Fl 2
Buffalo, NY 14214
Phone (716) 862-1308

2157 Main St
Fl 4
Buffalo, NY 14214
Phone (716) 862-1589

2157 Main St
Ste 1
Buffalo, NY 14214

2157 Main St
Ste 2
Buffalo, NY 14214

2605 Harlem Rd
#5
Buffalo, NY 14225

2605 Harlem Rd
Fl 1
Buffalo, NY 14225

2605 Harlem Rd
Ste 1
Buffalo, NY 14225

2605 Harlem Rd
Ste 120
Buffalo, NY 14225

2605 Harlem Rd
Ste 1Z
Buffalo, NY 14225

2605 Main St
Buffalo, NY 14214

2950 Elmwood Ave
Fl 1
Buffalo, NY 14217

301 Connecticut St
#1
Buffalo, NY 14213

489 Hertel Ave
Buffalo, NY 14207
Phone (716) 601-3766

515 Abbott Rd
Ste 210
Buffalo, NY 14220

2625 Harlem Rd
Ste 170
Cheektowaga, NY 14225
Phone (716) 462-5552

435 E Henrietta Rd
#1
Rochester, NY 14620

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nelson J Grimm Individual Corporate DirectorBoard Member Jan 1, 2022
David P Macholz Individual Corporate OfficerChief Financial Officer Jan 1, 2022
Operational/Managerial ControlCfo Authorized Official Jan 1, 2022
Other Jun 19, 2014
Joyce Markiewicz Individual Corporate OfficerPresident & Chain Home Officer Sep 1, 2023
W-2 Managing EmployeeAd;Chain Home Office Administrator Sep 1, 2023
Alexis Agnello Individual Corporate DirectorBoard Member Jan 1, 2022
Robert E Zapfel Individual Corporate DirectorBoard Member Jun 19, 2014
Toni M Murphy Individual Corporate DirectorBoard Member Jan 1, 2022
Russell Edwards Individual Corporate DirectorBoard Member Jan 1, 2022
Sisters of Charity Hospital of Buffalo New York Organization, Buffalo, NY Non-profit Operational/Managerial Control Jan 1, 2020
Walter Ludwig Individual Corporate DirectorBoard Member Jan 1, 2022
Leonardo Sette-Camara Individual Corporate DirectorBoard Member Jan 1, 2022
John Beyer Individual Corporate DirectorBoard Member Jan 1, 2022
CJ Urlaub Individual Corporate DirectorBoard Member Jan 1, 2022
Thomas Gleason Individual Corporate DirectorBoard Member Jan 1, 2022

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sisters of Charity Hospital of Buffalo New YorkBuffalo, NY, CCN 335419 Skilled nursing facility Operational/Managerial Control Oct 1, 2012

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 683

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 683

Affiliated clinicians 1,286

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,286

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1790727543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142648",
            "telephone_number": "716-862-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142648",
            "telephone_number": "716-862-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "BERGMANN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "716-862-1900"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "1401013H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354563",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "050",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "0001413501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "24",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "04041000066",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.