ANDREW CHARLES MATTELIANO (NPI# 1629029418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629029418 |
| Entity Type | Individual |
| Full Name | ANDREW CHARLES MATTELIANO |
| Credential | M.D. |
| Practice Address |
235 North St Buffalo NY 14201-1401 |
| Practice Telephone | 7168820726 |
| Practice Fax Number | 7168823484 |
| Mailing Telephone | 7168820726 |
| Mailing Fax Number | 7168823484 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2010-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1598681 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GHI | 00640512 | 01 | |
| NY | 00959297 | 05 | |
| INDEPENDENT HEALTH | 3006860 | 01 | |
| UNIVERA | 00020527401 | 01 | |
| COMMUNITY BLUE | 000504431001 | 01 | |
| BLUE CROSS OF WNY | 005044311 | 01 |
| Street Address |
235 NORTH ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14201-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902857790 | Deborah Matteliano | Nurse Practitioner | 235 North St, Buffalo, NY 14201-1401 | 2006-05-15 |
| 1770044398 | Nicole Marie Wise | Nurse Practitioner | 235 North St, Buffalo, NY 14201-1435 | 2019-03-27 |
| 1295256725 | Luke Martinic | Orthopaedic Surgery | 235 North St, Buffalo, NY 14201-1435 | 2017-07-06 |
| 1922553890 | Veronica Marie Koestler | Nurse Practitioner | 235 North St, Buffalo, NY 14201 | 2016-08-22 |
| 1275963860 | Kalina Ann Bidjov | Nurse Practitioner | 235 North St, Buffalo, NY 14201-1435 | 2013-11-18 |
| 1376829168 | Kathleen Jeanne Smith | Physical Therapist | 235 North St, Buffalo, NY 14201-1435 | 2011-10-25 |
| 1336438803 | Edward D. Simmons Md PC | Physician Assistant | 235 North St, Buffalo, NY 14201-1435 | 2011-04-05 |
| 1205168572 | Cindy Lea Moore | Physical Therapist | 235 North St, Buffalo, NY 14201-1435 | 2010-02-11 |
| 1760615991 | Kelly Finkowski | Physical Therapist | 235 North St, Buffalo, NY 14201-1435 | 2009-09-04 |
| 1447429881 | Brandy Leigh Minor | Physician Assistant | 235 North St, Lower Level, Buffalo, NY 14201-1435 | 2008-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592201 | Linda Berkoh-asamoah | Nurse Practitioner | Evergreen Health Services, 206 S. Elmwood Avenue, Buffalo, NY 14201 | 2020-06-10 |
| 1790223303 | Walaa Kadhum | Social Worker | 340 Niagara Street, Buffalo, NY 14201 | 2017-02-02 |
| 1285171025 | Santina Grace Phillips | Counselor | 10 Symphony Circle, Buffalo, NY 14201 | 2017-01-31 |
| 1073976759 | Jana Riesterer | Social Worker | 254 Virginia Street, Buffalo, NY 14201 | 2016-03-31 |
| 1710309414 | Chs N.y. Medical P.C. | General Practice | 10 Sheridan Rd, Buffalo, NY 14201 | 2014-01-15 |
| 1467722314 | Kristin Nicole Halter | Counselor | 591 Niagara Street, Buffalo, NY 14201 | 2012-01-10 |
| 1538446844 | Robert Martin Kennuth | Specialist/Technologist | 329 Porter Ave, D'youville College, Buffalo, NY 14201 | 2011-11-15 |
| 1902115033 | James W Burcher | Registered Nurse | 430 Niagara, Buffalo, NY 14201 | 2010-10-07 |
| 1336468115 | Jane Leslie Burgio | Speech-Language Pathologist | 315 Carolina St, Buffalo, NY 14201 | 2010-05-19 |
| 1376787044 | Jessica Christina | Licensed Practical Nurse | 85 Johnson Park, Buffalo, NY 14201 | 2009-04-26 |
| Find all providers in zip 14201 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407323892 | Ramiro Maldonado | Specialist | 64 Inwood Pl, Buffalo, NY 14209-1023 | 2018-10-24 |
| 1588169304 | Kut Life | Specialist | 474 Hewitt Ave, Buffalo, NY 14215-1700 | 2018-03-25 |
| 1881124485 | Mia Divirgilio | Specialist | 50 E. North St, Buffalo, NY 14203 | 2017-06-15 |
| 1073049870 | Hillary Asbeck-wade | Specialist | 443 Parkside Ave, Buffalo, NY 14216-3406 | 2017-05-11 |
| 1720510969 | Lidia J Snyder | Specialist | 99 Lancaster Ave, Buffalo, NY 14222-1403 | 2017-03-28 |
| 1821537234 | Joyelle Richter | Specialist | 8277 Vernon Cir, Buffalo, NY 14221-6134 | 2017-02-17 |
| 1699212936 | Corinne M Kindzierski | Specialist | 10 Gresham Dr, Buffalo, NY 14226-2944 | 2017-01-25 |
| 1679020655 | Rebekah Lee Balsano | Specialist | 332 Bedford Ave, Buffalo, NY 14216-3135 | 2016-09-07 |
| 1295191229 | Janine Ortman | Specialist | 121 Ellicott St, Buffalo, NY 14203-2601 | 2016-01-06 |
| 1033512975 | Mary Collins | Specialist | 32 W Oakwood Pl, Buffalo, NY 14214-2308 | 2014-10-07 |
| Find all providers in BUFFALO | ||||
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| 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.