Organization Active NPI

PBNJ Enterprises, LLC

  • Public Health or Welfare Agency
  • Buffalo, NY
National Provider Identifier
1801461157
Registry record updated May 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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

Updated by the provider on May 23, 2021

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

Authorized official

Name
Joscelynn BaioNPI 1508240987
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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SowFitBuffalo.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.