DEBORAH MATTELIANO (NPI# 1902857790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902857790 |
| Entity Type | Individual |
| Full Name | DEBORAH MATTELIANO |
| Credential | N.P |
| 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 | 2010-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F3337891 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 000560744001 | 01 | |
| INDEPENDENT HEALTH | 9512251 | 01 | |
| UNIVERA | 00026523301 | 01 | |
| GHI | 7599686 | 01 |
| Street Address |
235 NORTH ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14201-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1578759049 | Andrew C. Matteliano, M.d. | Specialist | 235 North St, Buffalo, NY 14201-1435 | 2007-09-19 |
| Find all providers in the same location | ||||
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176590 | Karen A Frost | Nurse Practitioner | 11 Donlen Dr, Buffalo, NY 14225-2525 | 2020-08-28 |
| 1922624725 | Sarah Elizabeth Scullion | Nurse Practitioner | 410 Abbott Rd, Buffalo, NY 14220-1634 | 2020-06-18 |
| 1619592201 | Linda Berkoh-asamoah | Nurse Practitioner | Evergreen Health Services, 206 S. Elmwood Avenue, Buffalo, NY 14201 | 2020-06-10 |
| 1538795083 | Marissa El Hawa | Nurse Practitioner | 308 Parkdale Ave, Buffalo, NY 14213-1431 | 2020-03-17 |
| 1659921609 | Ashley Lynn Ferguson | Nurse Practitioner | 8 Rose Dr, Buffalo, WY 82834-9312 | 2019-09-11 |
| 1093376121 | Patrisha Jane Neff | Nurse Practitioner | 12009 Mineral Ave, Buffalo, OH 43722 | 2019-06-28 |
| 1699336230 | Taylor Jean Tamburlin | Nurse Practitioner | 2240 N Forest Rd, Buffalo, NY 14221-1357 | 2019-06-25 |
| 1447815436 | Susan My Nghe | Nurse Practitioner | 1458 Sheridan Dr, Buffalo, NY 14217-1249 | 2019-05-05 |
| 1457914228 | Scot Lee Yarnell | Nurse Practitioner | 310 S Pacific St, Buffalo, KS 66717-2140 | 2019-04-17 |
| 1679021158 | Dawn Harrison | Nurse Practitioner | 935 Delaware Ave., Suite 300, Buffalo, NY 14209 | 2016-09-14 |
| 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.