Nicholas Frank Herideen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

053260 Issued in NY

Practice address

3527 Union Rd
Cheektowaga, NY 14225-5122

Phone

(716) 503-4441

NPI assigned

Oct 2, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Buffalo Rehab Group Physical Therapy and Occupational Therapy PCGroup PAC ID 1355232596, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Buffalo Rehab Group Physical Therapy and Occupational Therapy PC

  • Physical Therapist
  • West Seneca, NY
  • NPI 1548290943
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1831917483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 RICHMOND AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221930",
            "telephone_number": "330-283-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142255122",
            "telephone_number": "716-503-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERIDEEN",
        "first_name": "NICHOLAS",
        "middle_name": "FRANK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Henel, LPN
• Amy Henn
• Rielly Hennessy
• Gail Hennings, LPN
• Alan Paul Henry
• Alicia W Hermogenes, MD
• Latika Herring
• Felicia R Herrmann, LPN
• Mary Kaitlyn Hetzel
• Jo Hewitt, RN

• Physical Therapist in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.