Individual provider Active NPI

Derek M Aube-Marchant, RPA-C

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1972736825
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
013319-1 Issued in NY
Practice address
3950 E Robinson Rd
Suite 207
Buffalo, NY 14228-2041
Phone
(716) 564-1111
Fax
(716) 564-1128
NPI assigned
Aug 26, 2009
Last updated
Apr 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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 013319-1 NY Primary

Addresses

Primary practice location

3950 E Robinson Rd
Suite 207
Buffalo, NY 14228-2041

Mailing address

1150 Youngs Rd
Suite 104
Williamsville, NY 14221-8053
Phone (716) 636-7990

Other names 1

  • Mr. Derek M Marchant Former name

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
I20100415000056 NY Practitioner - Physician Assistant 1153458690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highgate Medical Group PCGroup PAC ID 6901885565, 58 clinicians

Practice addresses (Care Compare)

6255 Sheridan Dr
Williamsville, NY 14221-4825
Phone (716) 636-7979

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013319-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Highgate Medical Group Physician Assistant PastSince Nov 13, 2022 Accepting new patients
FDR Medical Services P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: daubemarchant@highgatemedical.medentdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1972736825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD",
            "address_2": "SUITE 104",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218053",
            "telephone_number": "716-636-7990",
            "fax_number": "716-636-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 E ROBINSON RD",
            "address_2": "SUITE 207",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142282041",
            "telephone_number": "716-564-1111",
            "fax_number": "716-564-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUBE-MARCHANT",
        "first_name": "DEREK",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-26",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013319-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEREK",
            "last_name": "MARCHANT",
            "middle_name": "M",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.