Individual provider Active NPI

Awa Ndow, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1871292953
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404170 Issued in NY
Practice address
1030 Ellicott St
Buffalo, NY 14209-2127
Phone
(347) 768-5253
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404170 NY Primary

Addresses

Primary practice location

1030 Ellicott St
Buffalo, NY 14209-2127

Mailing address

308 Dodge St
Buffalo, NY 14208-2308
Phone (347) 768-5253

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
I20250415000562 NY Practitioner - Nurse Practitioner 6103341920 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
404170NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Bridge, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Homespace Corp. CurrentSince Mar 5, 2023 Accepting new patients
Adas Healthcare Staffing LLC CurrentSince Apr 30, 2023 Accepting new patients

Locations

290 Lenox Ave
Fl 3
New York, NY 10027
Phone (870) 476-6003

248 W 108th St
New York, NY 10025
Phone (212) 663-3001

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1871292953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 DODGE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142082308",
            "telephone_number": "347-768-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 ELLICOTT ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092127",
            "telephone_number": "347-768-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDOW",
        "first_name": "AWA",
        "name_prefix": "Miss",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.