Individual provider Active NPI

Donna L Sobieraj, RN

  • Registered Nurse
  • Buffalo, NY
National Provider Identifier
1811658461
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
506094-01 Issued in NY
Practice address
511 Farber Lakes Dr
Buffalo, NY 14221-5779
Phone
(716) 815-3344
Fax
(716) 242-0171
NPI assigned
Jan 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 506094-01 NY Primary

Addresses

Primary practice location

511 Farber Lakes Dr
Buffalo, NY 14221-5779

Mailing address

511 Farber Lakes Dr
Buffalo, NY 14221-5779
Phone (716) 815-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
506094-01NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1811658461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 FARBER LAKES DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142215779",
            "telephone_number": "716-815-3344",
            "fax_number": "716-242-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 FARBER LAKES DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142215779",
            "telephone_number": "716-815-3344",
            "fax_number": "716-242-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBIERAJ",
        "first_name": "DONNA",
        "middle_name": "L",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "506094-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 5, 2022; 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.