NPIMap

Individual provider Active NPI

Jordan Birner, PA

  • Physician Assistant
  • Hamburg, NY
National Provider Identifier
1972224400
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
028780 Issued in NY
Practice address
5844 Southwestern Blvd Ste 500
Hamburg, NY 14075-3685
Phone
(716) 646-5500
NPI assigned
Sep 2, 2022
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 028780 NY Primary

Addresses

Primary practice location

5844 Southwestern Blvd Ste 500
Hamburg, NY 14075-3685

Mailing address

1715 Main Rd
Silver Creek, NY 14136-9743
Phone (716) 785-8626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221017002286 NY Practitioner - Physician Assistant 7719353747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Physician Care PCGroup PAC ID 5799945911, 26 clinicians

Practice addresses (Care Compare)

30 N Union Rd
Williamsville, NY 14221-5367
Phone (716) 747-4000

5844 Southwestern Blvd
Suite 500
Hamburg, NY 14075-3684
Phone (716) 646-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
028780NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Physician Care, PC CurrentSince Jul 21, 2025 Accepting new patients

Locations

5844 Southwestern Blvd
Ste 500
Hamburg, NY 14075
Phone (716) 626-4200

30 N Union Rd
Ste 101
Williamsville, NY 14221
Phone (716) 633-6363

Interoperability endpoints

  • Direct secure messaging: jbirnerpa@premierhealthpartners.medentdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1972224400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 MAIN RD",
            "city": "SILVER CREEK",
            "state": "NY",
            "postal_code": "141369743",
            "telephone_number": "716-785-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5844 SOUTHWESTERN BLVD STE 500",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753685",
            "telephone_number": "716-646-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNER",
        "first_name": "JORDAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

Verify at the official NPI Registry.