Organization Active NPI

Community Missions of Niagara Frontier, Inc.

  • Community/Behavioral Health Agency
  • Niagara Falls, NY
National Provider Identifier
1962622118
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY MISSIONS OF NIAGARA FRONTIER, INC.
Practice address
1570 Buffalo Ave
Niagara Falls, NY 14303-1516
Phone
(716) 285-3403
NPI assigned
Apr 30, 2007
Last updated
Aug 9, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY MISSIONS OF NIAGARA FRONTIER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Authorized official

Name
Ms. Nathalene Mosley
Title
Finance Manager
Phone
(716) 285-3403

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Community/Behavioral Health Agency 251S00000X NY Primary

Addresses

Primary practice location

1570 Buffalo Ave
Niagara Falls, NY 14303-1516

Mailing address

1570 Buffalo Avenue
Niagara Falls, NY 14303-1516
Phone (716) 285-3403

Other identifiers 1

IdentifierTypeStateIssuer
01432879MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111028000338 NY Part B Supplier - Clinic/Group Practice 5294908711 Receives reassigned benefits from 1 practitioner
Practice locations: Niagara Falls, NY

National Provider Directory

National Provider Directory
Tax ID family
Community Missions Niagara2 organizations share this tax ID, including this one
Part of
Community Missions Niagara

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1570 Buffalo Ave
Niagara Falls, NY 14303
Phone (716) 205-8708

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502236800000",
    "number": "1962622118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 BUFFALO AVENUE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031516",
            "telephone_number": "716-285-3403",
            "fax_number": "716-285-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 BUFFALO AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031516",
            "telephone_number": "716-285-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MISSIONS OF NIAGARA FRONTIER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY MISSIONS OF NIAGARA FRONTIER, INC.",
        "enumeration_date": "2007-04-30",
        "last_updated": "2017-08-09",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "NATHALENE",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "716-285-3403",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01432879",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.