JOSEPH GEORGE KOMENDA


Address: 1500 Broadway St, Buffalo, NY 14212-1845
Phone: 7164222002

JOSEPH GEORGE KOMENDA (NPI# 1154841633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154841633
Entity Type Individual
Full Name JOSEPH GEORGE KOMENDA
Practice Address 1500 Broadway St
Buffalo
NY 14212-1845
Practice Telephone 7164222002
Practice Fax Number 7168930128
Mailing Telephone 7164222002
Mailing Fax Number 7168930128
Enumeration Date 2017-06-26
Last Update Date 2017-06-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 1500 BROADWAY ST
City BUFFALO
State NY
Zip Code 14212-1845

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023112042 Beverly Ann Hornung Nurse Practitioner 1500 Broadway St, Buffalo, NY 14212-1845 2006-09-11
1376162149 Allison Ernst Social Worker 1500 Broadway St, Buffalo, NY 14212-1862 2020-04-13
1740826148 Beverly Dubie Licensed Practical Nurse 1500 Broadway St, Buffalo, NY 14212-1862 2019-11-20
1568013167 Sara Wessels Social Worker 1500 Broadway St, Buffalo, NY 14212-1862 2019-09-25
1346899986 Jamie N Kopcho Counselor 1500 Broadway St, Buffalo, NY 14212-1862 2019-09-06
1568011294 Joshua Young Counselor 1500 Broadway St, Buffalo, NY 14212-1862 2019-09-05
1023666377 Shaquita Marie Wilson Social Worker 1500 Broadway St, Buffalo, NY 14212-1862 2019-08-29
1881247948 Rachael Young Social Worker 1500 Broadway St, Buffalo, NY 14212-1862 2019-07-18
1932760428 Kathryn Helen Dubois Counselor 1500 Broadway St, Buffalo, NY 14212-1862 2019-06-25
1700446473 Hannah Elisabeth Spalding Counselor 1500 Broadway St, Buffalo, NY 14212-1862 2019-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508349283 Lj Transportation Service Taxi 123 Sobieski St, Buffalo, NY 14212 2018-09-10
1598157463 Safiya Haamid Registered Nurse 135 Loepere St, Buffalo, NY 14212 2015-03-02
1124345426 Matthew Michael Peunil Jr. Pharmacist 975 Broadway, Buffalo, NY 14212 2010-04-26
1265404982 Christopher Schaeffer Internal Medicine 1021 Broadway St, Buffalo, NY 14212 2006-02-06
1639697279 Sara Kathleen Lis Counselor 1131 Broadway St, Buffalo, NY 14212 2017-09-05
1770022212 Jeremy Michael Tomaino Counselor 1131 Broadway Ave, Buffalo, NY 14212 2017-02-16
1689033441 Latajana Hall Counselor 1131 Broadway Ave, Buffalo, NY 14212 2016-02-22
1336549831 James Maska Physical Therapist 1021 Broadway St, Buffalo, NY 14212 2014-09-03
1871934398 Mark John Harrigan Registered Nurse 1384 Broadway, Buffalo, NY 14212 2013-07-12
1740542299 Xika Zhao Registered Nurse 1500 Broadway, Buffalo, NY 14212 2012-06-11
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669070207 Sayeeda Zorita Daniels Peer Specialist 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 2020-10-15
1053924522 Graham Joshua Anderson Peer Specialist 64 Linwood Ave., Buffalo, NY 14209 2020-08-25
1184285702 Terence Andre Nix Peer Specialist 25 Delsan Ct, Buffalo, NY 14216-1212 2019-06-25
1225552003 Karen Romaina Ellington I Peer Specialist 95 W Humboldtparkway, Buffalo, NY 14214 2017-08-02
1417354531 Families' Child Advocacy Network, Inc. Peer Specialist 135 Delaware Ave, Suite 307, Buffalo, NY 14202-2416 2014-12-04
1780285296 Mental Health Association of Erie County Peer Specialist 1021 Broadway St, Buffalo, NY 14212-1460 2020-11-03
1477153906 Veronica Thompson Peer Specialist 430 Niagara St, Buffalo, NY 14201-1886 2020-10-26
1023616638 Eilise Maeve Shaw Peer Specialist 430 Niagara St, Buffalo, NY 14201-1886 2020-10-15
1184239816 Mqdad Bayz Peer Specialist 255 Delaware Ave, Buffalo, NY 14202-2016 2020-09-10
1083226914 Iris Savoy-burke Peer Specialist 430 Niagara St, Buffalo, NY 14201-1886 2020-08-21
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Competitor

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City BUFFALO
Zip Code 14212

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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