Individual provider Active NPI

David Collins, FNP-BC

  • Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1962829531
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F342271-1 Issued in NY
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

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180119000801 NY Practitioner - Nurse Practitioner 8527327584 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
630062NYMDRegistered Nurse
F342271-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Health Medical PC CurrentSince Apr 1, 2025 Accepting new patients
Parcare Community Health Network Inc CurrentSince May 1, 2023 Accepting new patients
Scarborough Medical Services PC CurrentSince Feb 18, 2024 Accepting new patients
Parcare Community Health Network Inc CurrentSince May 1, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.