Active NPI
Susan Leslie Nierenberg, NP
- Family Nurse Practitioner
- Buffalo, NY
National Provider Identifier
1932175825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F3307551
- Practice address
- 155 Lawn Ave
Buffalo, NY 14207-1816 - Phone
- (716) 875-2904
- Fax
- (716) 875-6717
- NPI assigned
- Feb 28, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F3307551 | NY | Primary |
Addresses
Primary practice location
155 Lawn Ave
Buffalo, NY 14207-1816
Mailing address
155 Lawn Ave
Buffalo, NY 14207-1816
Phone (716) 875-2904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3307551 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1932175825",
"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",
"fax_number": "716-875-6717"
},
{
"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",
"fax_number": "716-875-6717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIERENBERG",
"first_name": "SUSAN",
"middle_name": "LESLIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F3307551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.