Neighborhood Health Center of Wny, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

NEIGHBORHOOD HEALTH CENTER OF WNY, INC.

Practice address

155 Lawn Ave
Buffalo, NY 14207-1816

Phone

(716) 875-2904

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Edward S Golebiewski

Title

Vice President of Finance

Phone

(716) 572-7409

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Neighborhood Health Center Other name

Medicare fee-for-service enrollment

Enrolled in NY7 enrollments

Enrollment records 7

Federally qualified health center certification: CCN 331847

Legal name

NEIGHBORHOOD HEALTH CENTER OF WNY, INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 10, 1992

Last certification

Aug 10, 1992

Ownership / control type

Non-profit – other

Organization structure

CorporationNon-profit

Incorporated

Mar 18, 1987 in NY

Enrollment address

155 Lawn Ave
Buffalo, NY 14207-1816

Federally qualified health center certification: CCN 331118

Legal name

NEIGHBORHOOD HEALTH CENTER OF WNY, INC.

Doing business as

NEIGHBORHOOD HEALTH CENTER MATTINA

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 3, 2014

Last certification

Oct 3, 2014

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Mar 18, 1987 in NY

Enrollment address

300 Niagara Street
Buffalo, NY 14201

Federally qualified health center certification: CCN 331119

Legal name

NEIGHBORHOOD HEALTH CENTER OF WNY, INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 3, 2014

Last certification

Oct 3, 2014

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Mar 18, 1987 in NY

Enrollment address

151 Elmview Ave
Hamburg, NY 14075-3762

Federally qualified health center certification: CCN 571077

Legal name

NEIGHBORHOOD HEALTH CENTER OF WNY, INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 23, 2017

Last certification

Jun 23, 2017

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Mar 18, 1987 in NY

Enrollment address

4233 Lake Ave
Buffalo, NY 14219-1216

Federally qualified health center certification: CCN 571835

Legal name

NEIGHBORHOOD HEALTH CENTER OF WNY, INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 1, 2022

Last certification

Aug 1, 2022

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Enrollment address

1050 Niagara St
Buffalo, NY 14213-2001

Federally qualified health center certification: CCN 571837

Legal name

NEIGHBORHOOD HEALTH CENTER OF WNY, INC.

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Aug 9, 2022

Last certification

Aug 9, 2022

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Sep 23, 2013 in NY

Enrollment address

1569 Niagara St
Buffalo, NY 14213-1101

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Neighborhood Health Center of Wny, Inc.

  • Community/Retail Pharmacy
  • Blasdell, NY
  • NPI 1306356340

  5193794972

  Same PAC ID
• Neighborhood Health Center of Wny, Inc.

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1528795978

  5193794972

  Same PAC ID
• Neighborhood Health Center of Wny, Inc.

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1821467226

  5193794972

  Same PAC ID

Locations

All disclosed owners & managing parties 28

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fikirte Adella, PA

  • Physician Assistant
  • Buffalo, NY
  • NPI 1023681137

  NY

  Medicare reassignment Care Compare group NPD
• Abir Ahmed, DPM

  • Podiatrist
  • Blasdell, NY
  • NPI 1740807460

  NY

  Medicare reassignment Care Compare group NPD
• Tariq Jamal Ahmed, MD

  • Adult Medicine Physician
  • Buffalo, NY
  • NPI 1235627472

  NY

  Medicare reassignment Care Compare group NPD
• Grace Bachner, FNP

  • Family Nurse Practitioner
  • Buffalo, NY
  • NPI 1598646176

  NY

  Medicare reassignment Care Compare group NPD
• Taryn Barber, RDN, CDN

  • Registered Dietitian
  • Buffalo, NY
  • NPI 1912610437

  NY

  Medicare reassignment Care Compare group NPD
• Danielle Behlok, PA

  • Physician Assistant
  • Buffalo, NY
  • NPI 1407743735

  NY

  Medicare reassignment Care Compare group NPD
• Alyssa M Benjamin, FNP

  • Family Nurse Practitioner
  • Buffalo, NY
  • NPI 1689490633

  NY

  Medicare reassignment Care Compare group NPD
• Christopher Charles Biondolillo, M.D.

  • Family Medicine Physician
  • Buffalo, NY
  • NPI 1851651525

  NY

  Medicare reassignment Care Compare group NPD
• Tucsha Bradberry

  • Psychiatric/Mental Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1073917118

  NY

  Medicare reassignment Care Compare group NPD
• Laurie Brown-Croyts, RN, NP-C

  • Nurse Practitioner
  • Springville, NY
  • NPI 1912208984

  NY

  Medicare reassignment Care Compare group NPD
• James C Burruano, DPM

  • Podiatrist
  • Buffalo, NY
  • NPI 1356523062

  NY

  Medicare reassignment Care Compare group NPD
• Jennifer Kaye Buyea, DNP, FNP-BC

  • Family Nurse Practitioner
  • Buffalo, NY
  • NPI 1780246496

  NY

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1881789014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 LAWN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071816",
            "telephone_number": "716-875-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 LAWN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071816",
            "telephone_number": "716-875-2904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Elmview Ave",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140753762",
            "country_code": "US",
            "telephone_number": "716-648-4345",
            "fax_number": "716-648-4385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4233 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Blasdell",
            "state": "NY",
            "postal_code": "142191216",
            "country_code": "US",
            "telephone_number": "716-332-3070",
            "fax_number": "716-332-3075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Niagara St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142012135",
            "country_code": "US",
            "telephone_number": "716-242-8600",
            "fax_number": "716-332-0832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTH CENTER OF WNY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "GOLEBIEWSKI",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "716-572-7409"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX EXEMPT NUMBER",
            "identifier": "184168",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01034940",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eliezer Negron Rodriguez, PHARMD
• George Geoffrey Neiderman, M.D.
• Mirdza Erika Neiders, DDS
• Neighborhood Health Center of Wny, Inc.
• Neighborhood Health Center of Wny, Inc.
• T. Corey Neil
• Barbara Ann Neilson, NP
• Hanna Neimeier
• Kayla Ann Neira, MS ED CCC/SLP
• Mary L Neiswonger

• All providers in Buffalo, NY
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.