Individual provider Active NPI

Elaine Pazik, N.P

  • Women's Health Nurse Practitioner
  • Amherst, NY
National Provider Identifier
1902883358
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F360062 Issued in NY
Practice address
4575 Main St
Amherst, NY 14226-4567
Phone
(716) 633-4575
Fax
(716) 633-4576
NPI assigned
Dec 28, 2005
Last updated
Apr 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F360062 NY Primary

Addresses

Primary practice location

4575 Main St
Amherst, NY 14226-4567

Mailing address

4575 Main St
Amherst, NY 14226-4567
Phone (716) 633-4575

Other identifiers 4

IdentifierTypeStateIssuer
00026532602OtherNYUNIVERA
000560171008OtherNYBC/BS
01973431MedicaidNY
9512266OtherNYIHA

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
I20040719001475 NY Practitioner - Nurse Practitioner 4284613555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Buffalo School of Medicine, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Buffalo OBGYN LLPGroup PAC ID 4688798259, 8 clinicians

Practice addresses (Care Compare)

4575 Main St
Suite 1
Amherst, NY 14226-4567
Phone (716) 633-4575

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F360062NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo OBGYN, LLP CurrentSince May 2, 2011 Accepting new patients
Genesee Valley Group Health Association Past Accepting new patients
Evergreen Women's Health Group, LLP Past Accepting new patients

Locations

4575 Main St
Ste 1
Buffalo, NY 14226
Phone (716) 633-4575

4575 Main St
Snyder, NY 14226
Phone (716) 633-4575

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12523/brand/1/csg/1/fhir/r4
  • Direct secure messaging: elaine.pazik.1@12523.direct.athenahealth.com

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, 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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1902883358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 MAIN ST",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264567",
            "telephone_number": "716-633-4575",
            "fax_number": "716-633-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 MAIN ST",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264567",
            "telephone_number": "716-633-4575",
            "fax_number": "716-633-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZIK",
        "first_name": "ELAINE",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F360062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026532602",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000560171008",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01973431",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9512266",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.