Active NPI
David Collins, FNP-BC
- Nurse Practitioner
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F342271-1
- Practice address
- 701 Seneca St Ste 646C
Buffalo, NY 14210-1351 - Phone
- (716) 995-4450
- NPI assigned
- Mar 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 630062 | NY | |
| Nurse Practitioner | 363L00000X | F342271-1 | NY | Primary |
Addresses
Primary practice location
701 Seneca St Ste 646C
Buffalo, NY 14210-1351
Mailing address
PO Box 3096
North Myrtle Beach, SC 29582-0096
Phone (814) 558-5938
Other practice location 1
22 Main St
Randolph, NY 14772-1112
Phone (716) 358-7036
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630062 | NY | MD | Registered Nurse |
| F342271-1 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Health Medical PC | Current | Accepting new patients | |
| Parcare Community Health Network Inc | Current | Accepting new patients | |
| Scarborough Medical Services PC | Current | Accepting new patients | |
| Parcare Community Health Network Inc | Current | Accepting new patients |
Locations
831 Bedford Ave
Brooklyn, NY 11205
6010 Bay Pkwy
Ste 603
Brooklyn, NY 11204
Phone (718) 236-7520
17 W 9th St
Brooklyn, NY 11231
Phone (718) 599-9090
6010 Bay Pkwy
Ste 902
Brooklyn, NY 11204
Phone (718) 475-1700
445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320
Interoperability endpoints
- dcollins@landmarkhealth-direct.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1679393052
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1730454083
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1215792213
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1942795943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1962829531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3096",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295820096",
"telephone_number": "814-558-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SENECA ST STE 646C",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142101351",
"telephone_number": "716-995-4450"
}
],
"practiceLocations": [
{
"address_1": "22 Main St",
"address_purpose": "LOCATION",
"city": "Randolph",
"state": "NY",
"postal_code": "147721112",
"country_code": "US",
"telephone_number": "716-358-7036",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "DAVID",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-21",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "630062",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F342271-1",
"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 May 19, 2023; 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.