Individual provider Active NPI

Carolyn Difonzo, F.N.P.

  • Family Nurse Practitioner
  • Niagara Falls, NY
National Provider Identifier
1831115096
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F 334650 1 Issued in NY
Practice address
7350 Porter Rd
Niagara Falls, NY 14304-5705
Phone
(716) 332-1644
Fax
(716) 299-0775
NPI assigned
Jul 14, 2006
Last updated
Jul 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F 334650 1 NY Primary

Addresses

Primary practice location

7350 Porter Rd
Niagara Falls, NY 14304-5705

Mailing address

7350 Porter Rd
Niagara Falls, NY 14304-5705
Phone (716) 332-1644

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
I20051209000496 NY Practitioner - Nurse Practitioner 7517988264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.69 of 100Reported as group
Quality
77.6
Promoting interoperability
100
Improvement activities
40
Cost
81.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F 334650 1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Memorial Medical Center CurrentSince Sep 1, 2018 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Sep 1, 2018 Accepting new patients
University Orthopaedic Services Inc. CurrentSince Jun 11, 2018 Accepting new patients
University Orthopaedic Services, Inc CurrentSince Jun 11, 2018 Accepting new patients
Digestive Health Physicians, P.C. Past Accepting new patients
Lifestyle Nutrition Wny, PLLC PastSince Sep 21, 2015 Accepting new patients
Muneeb U. Haroon, MD PastSince Jan 1, 2018 Accepting new patients

Locations

160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070

4949 Harlem Rd
Buffalo, NY 14226
Phone (716) 204-3201

4225 Genesee St
Cheektowaga, NY 14225
Phone (716) 829-6123

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

Organizations & group practices 7

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1831115096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 PORTER RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143045705",
            "telephone_number": "716-332-1644",
            "fax_number": "716-299-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 PORTER RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143045705",
            "telephone_number": "716-332-1644",
            "fax_number": "716-299-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFONZO",
        "first_name": "CAROLYN",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F 334650 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.