Active NPI
PBNJ Enterprises, LLC
- Public Health or Welfare Agency
- Buffalo, NY
National Provider Identifier
1801461157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- PBNJ ENTERPRISES, LLC
- Practice address
- 1940 Kenmore Ave
Buffalo, NY 14217-2525 - Phone
- (716) 249-2010
- NPI assigned
- May 20, 2021
- 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
- Joscelynn Baio
- Title
- Ceo
- Phone
- (716) 249-2010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Public Health or Welfare Agency | 251K00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X |
Addresses
Primary practice location
1940 Kenmore Ave
Buffalo, NY 14217-2525
Mailing address
108 Morningstar CT
Buffalo, NY 14221-4957
Phone (716) 490-0506
Other names 1
- SowFit Buffalo Sports and Fitness
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | SowFitBuffalo.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
1940 Kenmore Ave
Buffalo, NY 14217
Phone (716) 249-2010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- North Tonawanda, NY
- NPI 1508240987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621728000000",
"number": "1801461157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 MORNINGSTAR CT",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142214957",
"telephone_number": "716-490-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 KENMORE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142172525",
"telephone_number": "716-249-2010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PBNJ ENTERPRISES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-20",
"last_updated": "2021-05-23",
"certification_date": "2021-05-23",
"status": "A",
"authorized_official_last_name": "BAIO",
"authorized_official_first_name": "JOSCELYNN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "716-249-2010"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "SowFitBuffalo.com",
"affiliation": "N",
"endpointDescription": "Contact us",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1940 Kenmore Ave",
"city": "Buffalo",
"state": "NY",
"country_code": "US",
"postal_code": "142172525",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "SowFit Buffalo Sports and Fitness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.