Community Health Center of Buffalo, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

1401230R Issued in NY

Legal business name

COMMUNITY HEALTH CENTER OF BUFFALO, INC.

Practice address

34 Benwood Ave
Buffalo, NY 14214-1761

Phone

(716) 986-9199

Fax

(716) 835-9354

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Shamiqua Baker

Title

Senior Project Manager

Phone

(716) 986-9199

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY7 enrollments

Enrollment records 7

Federally qualified health center certification: CCN 331892

Legal name

COMMUNITY HEALTH CENTER OF BUFFALO INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 1, 2000

Last certification

Feb 1, 2000

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 18, 1999 in NY

Enrollment address

34 Benwood Ave
Buffalo, NY 14214-1761

Federally qualified health center certification: CCN 331011

Legal name

COMMUNITY HEALTH CENTER OF BUFFALO INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Dec 16, 2010

Last certification

Dec 16, 2010

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 18, 1999 in NY

Enrollment address

2715 Highland Ave
Niagara Falls, NY 14305-2466

Related CCNs

311892

Federally qualified health center certification: CCN 331106

Legal name

COMMUNITY HEALTH CENTER OF BUFFALO INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Apr 3, 2014

Last certification

Apr 3, 2014

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 26, 1999 in NY

Enrollment address

38 Heritage CT
Lockport, NY 14094-3616

Federally qualified health center certification: CCN 331150

Legal name

COMMUNITY HEALTH CENTER OF BUFFALO INC

Doing business as

COMMUNITY HEALTH CENTER OF SANBORN

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 17, 2015

Last certification

Jul 17, 2015

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 26, 1999 in NY

Enrollment address

6321 Inducon E Dr
Sanborn, NY 14132-9016

Federally qualified health center certification: CCN 571088

Legal name

COMMUNITY HEALTH CENTER OF BUFFALO INC

Doing business as

COMMUNITY HEALTH CENTER OF CHEEKTOWAGA

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 23, 2018

Last certification

Jan 23, 2018

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 26, 1999 in NY

Enrollment address

934 Cleveland Dr
Cheektowaga, NY 14225-1279

Federally qualified health center certification: CCN 571930

Legal name

COMMUNITY HEALTH CENTER OF BUFFALO INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Nov 20, 2025

Last certification

Nov 20, 2025

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

421 Monroe St
Buffalo, NY 14212-1046

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• City of Newark

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1295958908

  Related provider number

  Provider of Services

All disclosed owners & managing parties 18

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

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HDJFBA

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

• Veronica V Mason, FNP

  • Nurse Practitioner
  • Niagara Falls, NY
  • NPI 1528017977

  Corporate Director

  CMS ownership
• Denise Kaymara Dennis-Coke, M.D., M.P.H

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1689010894

  Corporate Director, Corporate Officer

  CMS ownership

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahla Ahmad, M.D.

  • Family Medicine Physician
  • Buffalo, NY
  • NPI 1093121220

  NY

  Medicare reassignment Care Compare group NPD
• Dimario Durand Bell, LMHC

  • Mental Health Counselor
  • Buffalo, NY
  • NPI 1669955639

  NY

  Medicare reassignment Care Compare group NPD
• Rachna Bharti, MD

  • Family Medicine Physician
  • Lockport, NY
  • NPI 1053505131

  NY

  Medicare reassignment Care Compare group NPD
• Tinh Trung Dao, MD

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1942301189

  NY

  Medicare reassignment Care Compare group NPD
• Kenyani Shareen Davis, M.D.

  • Internal Medicine Physician
  • Williamsville, NY
  • NPI 1427315415

  NY

  Medicare reassignment Care Compare group NPD
• Madison D Durham, PA

  • Physician Assistant
  • Lockport, NY
  • NPI 1225707466

  NY

  Medicare reassignment Care Compare group NPD
• Halil Ergonenc, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1427838176

  NY

  Medicare reassignment Care Compare group NPD
• Benita Lipford, MD

  • Obstetrics & Gynecology Physician
  • Buffalo, NY
  • NPI 1437113164

  NY

  Medicare reassignment Care Compare group NPD
• Scott Christopher Matheis Jr.

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1245919133

  NY

  Medicare reassignment Care Compare group NPD
• Anisha Pahwa, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Buffalo, NY
  • NPI 1730534660

  NY

  Medicare reassignment Care Compare group NPD
• Kendra P. Washington, LCSW

  • Clinical Social Worker
  • Buffalo, NY
  • NPI 1336229731

  NY

  Medicare reassignment Care Compare group NPD
• Emily Maureen Yusuf, NP

  • Women's Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1720808173

  NY

  Medicare reassignment Care Compare group NPD

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1790787919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BENWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141761",
            "telephone_number": "716-986-9199",
            "fax_number": "716-835-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BENWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141761",
            "telephone_number": "716-986-9199",
            "fax_number": "716-835-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER OF BUFFALO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SHAMIQUA",
        "authorized_official_title_or_position": "SENIOR PROJECT MANAGER",
        "authorized_official_telephone_number": "716-986-9199"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "1401230R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02045283",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Buffalo, NY
• Federally Qualified Health Center (FQHC) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.