Active NPI
Amanda Zdolinski, LPN
- Licensed Practical Nurse
- Cheektowaga, NY
National Provider Identifier
1922854215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 350199
- Practice address
- 1526 Walden Ave Ste 400
Cheektowaga, NY 14225-4985 - Phone
- (716) 895-6700
- Fax
- (716) 332-4488
- NPI assigned
- Apr 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 350199 | NY | Primary |
Addresses
Primary practice location
1526 Walden Ave Ste 400
Cheektowaga, NY 14225-4985
Mailing address
1526 Walden Ave Ste 400
Cheektowaga, NY 14225-4985
Phone (716) 895-6700
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350199 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Erie Mental Health Services Inc | Multi-Specialty | Current | Accepting new patients |
Locations
1526 Walden Ave
Ste 400
Cheektowaga, NY 14225
Phone (716) 895-7167
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1922854215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1526 WALDEN AVE STE 400",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142254985",
"telephone_number": "716-895-6700",
"fax_number": "716-332-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 WALDEN AVE STE 400",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142254985",
"telephone_number": "716-895-6700",
"fax_number": "716-332-4488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZDOLINSKI",
"first_name": "AMANDA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-26",
"last_updated": "2024-04-26",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "350199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.