Active NPI
Rosanne Serra
- Pediatric Nurse Practitioner
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F-339517-1
- Practice address
- 219 Bryant St
Buffalo, NY 14222-2006 - Phone
- (716) 878-7524
- NPI assigned
- May 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F-339517-1 | NY | Primary |
Addresses
Primary practice location
219 Bryant St
Buffalo, NY 14222-2006
Mailing address
219 Bryant St
Buffalo, NY 14222-2006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04176752 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Niagara Falls Memorial Medical Center
Practice addresses (Care Compare)
620 Tenth St
Suite 710
Niagara Falls, NY 14302-0708
Phone (716) 278-4290
621 10TH St
Niagara Falls, NY 14301-1813
Phone (716) 278-4000
Hospital & facility affiliations
- Niagara Falls Memorial Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F-339517-1 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niagara Falls Memorial Medical Center | Current | Accepting new patients | |
| Niagara Falls Memorial Medical Center | Current | Accepting new patients | |
| Ub Family Medicine, Inc | Current | Accepting new patients | |
| Niagara Falls Memorial Medical Center | Current | Accepting new patients |
Locations
620 10th St
Ste 704
Niagara Falls, NY 14301
Phone (716) 278-4402
621 10th St
Fl 2
Niagara Falls, NY 14301
621 10th St
Fl 3
Niagara Falls, NY 14301
621 10th St
North Falls, NY 14301
Phone (716) 278-4000
Interoperability endpoints
- rserra@landmarkhealth-direct.org
- https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
- rosannedelsignore@ubmd.allscriptsdirect.net
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.
-
- General Acute Care Hospital
- Niagara Falls, NY
- NPI 1285717298
-
- Obstetrics & Gynecology Physician
- Niagara Falls, NY
- NPI 1982659256
-
- Oncology Clinic/Center
- Niagara Falls, NY
- NPI 1144842816
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1942294467
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Niagara Falls, NY
- NPI 1285717298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451260800000",
"number": "1992184774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 BRYANT ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 BRYANT ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142222006",
"telephone_number": "716-878-7524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRA",
"first_name": "ROSANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-26",
"last_updated": "2015-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F-339517-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04176752",
"state": "NY"
}
],
"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 Dec 28, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.