Individual provider Active NPI

Roberta L Beers-Schambach, RPA

  • Medical Physician Assistant
  • Williamsville, NY
National Provider Identifier
1801994694
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0007805 Issued in NY
Practice address
6245 Sheridan Dr
Suite 212
Williamsville, NY 14221-4834
Phone
(716) 204-4500
Fax
(716) 204-4501
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0007805 NY Primary

Addresses

Primary practice location

6245 Sheridan Dr
Suite 212
Williamsville, NY 14221-4834

Mailing address

6245 Sheridan Dr
Suite 212
Williamsville, NY 14221-4834
Phone (716) 204-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051202000294 NY Practitioner - Physician Assistant 7719907906 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0007805NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. Current Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince Jan 12, 2015 Accepting new patients
Chenango Memorial Hospital, Inc. Past Accepting new patients
Buffalo Emergency Associates LLP Past Accepting new patients
Exigence Medical of Olean, PLLC Past Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

276-280 Robinson St
Binghamton, NY 13904
Phone (607) 722-2769

39 E Main St
Hancock, NY 13783
Phone (607) 637-5700

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801994694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 SHERIDAN DR",
            "address_2": "SUITE 212",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214834",
            "telephone_number": "716-204-4500",
            "fax_number": "716-204-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 SHERIDAN DR",
            "address_2": "SUITE 212",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214834",
            "telephone_number": "716-204-4500",
            "fax_number": "716-204-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEERS-SCHAMBACH",
        "first_name": "ROBERTA",
        "middle_name": "L",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "0007805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.