Active NPI
Community Health Center of Buffalo, Inc.
- Federally Qualified Health Center (FQHC)
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- License
- 1401230R
- 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
- Last updated
- Oct 1, 2025
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 1401230R | NY | Primary |
Addresses
Primary practice location
34 Benwood Ave
Buffalo, NY 14214-1761
Mailing address
34 Benwood Ave
Buffalo, NY 14214-1761
Phone (716) 986-9199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 7
NPI to CCN mapping 6
The Medicare certification numbers (CCNs) connected to NPI 1790787919. Details of each certification follow.
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
- Corporation
- 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
- Corporation
- 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
- Corporation
- 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
- Corporation
- 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
- Corporation
- 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
- Corporation
- 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.
-
dba Newark Department of Health and Community Welllness
- Federally Qualified Health Center (FQHC)
- Newark, NJ
- NPI 1295958908
Related provider number
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2038195 | Community Health Center of Buffalo Inc | Provider-performed microscopy | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
34 Benwood Ave
Ste 1
Buffalo, NY 14214
100 Main St
Lockport, NY 14094
Phone (716) 986-9199
38 Heritage Ct
Lockport, NY 14094
Phone (716) 433-4464
4947 Lockport Rd
Lockport, NY 14094
2715 Highland Ave
Niagara Falls, NY 14305
Phone (716) 278-4418
35 Industrial Dr
North Tonawanda, NY 14120
6321 Inducon Dr E
Sanborn, NY 14132
Phone (716) 505-1060
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDJFBA
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Ikpeze | Corporate Director | Dec 31, 2009 | |
| Corporate Officer | Nov 18, 2024 | ||
| Lavonne Ansari | W-2 Managing Employee | Apr 3, 2006 | 100% |
| Operational/Managerial Control | Jan 15, 2010 | ||
| Operational/Managerial Control | Mar 28, 2006 | ||
| Operational/Managerial Control | Nov 16, 2012 | 100% | |
| Operational/Managerial Control | Jul 7, 2015 | ||
| Operational/Managerial Control | Apr 1, 2006 | 100% | |
| Corporate Director | Apr 11, 2025 | ||
| W-2 Managing Employee | Apr 11, 2025 | ||
| Richard Pope | W-2 Managing Employee | Jan 15, 2010 | |
| W-2 Managing Employee | Jul 1, 2015 | ||
| Karla Thomas | Corporate Director | Dec 31, 2009 | |
| Darla Rose | W-2 Managing Employee | Dec 2, 2013 | |
| W-2 Managing Employee | Dec 2, 2013 | ||
| Corporate Officer | Nov 18, 2024 | ||
| Kathleen Duke-Purdue | Corporate Director | Dec 31, 2009 | |
| Corporate Officer | Nov 18, 2024 | ||
| Corporate Director | Apr 1, 1999 | ||
| Dorothy Hawkins | Corporate Director | Dec 31, 2009 | |
| Denise Kaymara Dennis-Coke | Corporate Director | Jan 1, 2016 | |
| Corporate Officer | Nov 18, 2024 | ||
| Corporate Director | Sep 1, 2016 | ||
| Raymere D Proctor | W-2 Managing Employee | Nov 1, 2023 | |
| Mark King | Corporate Director | Jan 1, 2012 | |
| Corporate Director | Aug 6, 2012 | ||
| Corporate Director | Aug 16, 2012 | ||
| Corporate Director | Jul 1, 2012 | ||
| Corporate Officer | Nov 18, 2024 | ||
| Rashied McDuffie | Corporate Director | Jan 1, 2013 | |
| Corporate Officer | Nov 18, 2024 | ||
| Corporate Director | May 17, 2013 | ||
| Corporate Director | Sep 1, 2013 | ||
| Stephen Bojdak | Corporate Director | Jan 1, 2013 | |
| Corporate Director | Nov 30, 2013 | ||
| Corporate Director | Nov 8, 2013 | ||
| Corporate Director | Jan 1, 2014 | ||
| Corporate Officer | Nov 18, 2024 | ||
| John Torrey | Corporate Director | Jan 1, 2023 | |
| Corporate Officer | Nov 18, 2024 | ||
| Raymond Allen | Corporate Director | Jan 1, 2020 | |
| Corporate Officer | Nov 18, 2024 | ||
| Earvetta Bizzell | Corporate Director | Feb 24, 2014 | |
| Corporate Director | Feb 6, 2014 | ||
| Corporate Officer | Nov 18, 2024 | ||
| Veronica V Mason | Corporate Director | May 17, 2013 | |
| Marsha Jackson | Corporate Director | Mar 9, 2012 | |
| Community Health Center of Buffalo Inc | Operational/Managerial Control | Jul 1, 2015 | 100% |
| Operational/Managerial Control | Apr 1, 2006 | 100% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1689010894
Corporate Director, Corporate Officer
Practitioners & affiliated clinicians
Practitioners 64
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.
-
- Family Medicine Physician
- Buffalo, NY
- NPI 1093121220
-
- Mental Health Counselor
- Buffalo, NY
- NPI 1669955639
-
- Family Medicine Physician
- Lockport, NY
- NPI 1053505131
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1942301189
-
- Internal Medicine Physician
- Williamsville, NY
- NPI 1427315415
-
- Physician Assistant
- Lockport, NY
- NPI 1225707466
-
- Psychiatric/Mental Health Nurse Practitioner
- Buffalo, NY
- NPI 1427838176
-
- Obstetrics & Gynecology Physician
- Buffalo, NY
- NPI 1437113164
-
- Psychiatric/Mental Health Nurse Practitioner
- Buffalo, NY
- NPI 1245919133
-
- Geriatric Medicine (Internal Medicine) Physician
- Buffalo, NY
- NPI 1730534660
-
- Clinical Social Worker
- Buffalo, NY
- NPI 1336229731
-
- Women's Health Nurse Practitioner
- Buffalo, NY
- NPI 1720808173
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
- Thomas Edison Comerford III, MASTERS OF SCIENCE
- Alyssa Cometto, RDN, CDN
- Comfort Social Adult Day Care Inc
- Coming Home Care Services LLC
- Community Based Audiology, Speech-Language Pathology, Physical and Occ
- Community Medical Physician Services PC
- Community Nutrition Partnership
- Community Services for the Developmentally Disabled, Inc
- Community Testing Services LLC
- Compass House
Sources for this page
- 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.