Active NPI
Joanne Wisniewski, N.P.
- Nurse Practitioner
- East Aurora, NY
National Provider Identifier
1871556548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F340078
- Practice address
- 292 Main St
East Aurora, NY 14052-1650 - Phone
- (716) 652-1560
- Fax
- (716) 652-0018
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F340078 | NY | Primary |
Addresses
Primary practice location
292 Main St
East Aurora, NY 14052-1650
Mailing address
292 Main St
East Aurora, NY 14052-1650
Phone (716) 652-1560
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00021055401 | Other | NY | UNIVERA |
| 000560610002 | Other | NY | BC/BS |
| 9512525 | Other | NY | IHA |
| BA1293 | Other | NY | FACILITY PIN |
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F340078 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatric Associates, LLP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Williamsville, NY
- NPI 1750348306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1871556548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 MAIN ST",
"city": "EAST AURORA",
"state": "NY",
"postal_code": "140521650",
"telephone_number": "716-652-1560",
"fax_number": "716-652-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 MAIN ST",
"city": "EAST AURORA",
"state": "NY",
"postal_code": "140521650",
"telephone_number": "716-652-1560",
"fax_number": "716-652-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISNIEWSKI",
"first_name": "JOANNE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F340078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00021055401",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "000560610002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "9512525",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY PIN",
"identifier": "BA1293",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Aurora, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.