Active NPI
Community Missions of Niagara Frontier, Inc.
- Community/Behavioral Health Agency
- Niagara Falls, NY
National Provider Identifier
1962622118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2017
- Organization subpart
- Yes
- Parent organization
- COMMUNITY MISSIONS OF NIAGARA FRONTIER, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01432879 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Community Missions Niagara
- 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.
-
- Community/Behavioral Health Agency
- Niagara Falls, NY
- NPI 1770701989
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.
-
- Psychiatry Physician
- Youngstown, NY
- NPI 1700953999
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.