MELISSA ANNE AZAULA (NPI# 1043276603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043276603 |
| Entity Type | Individual |
| Full Name | MELISSA ANNE AZAULA |
| Credential | M.D. |
| Practice Address |
219 Bryant Street Buffalo NY 14222-2006 |
| Mailing Address |
4511 Harlem Road Suite 202 Amhurst NY 14226-3822 |
| Practice Telephone | 7168881342 |
| Practice Fax Number | 7168881315 |
| Mailing Telephone | 7168396720 |
| Mailing Fax Number | 7168396740 |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2008-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
194829 | NY | Allopathic & Osteopathic Physicians |
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
194829 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018526310001 | 05 | |
| BC/BS | 000524267006 | 01 | |
| UNIVERA | 00010007101 | 01 | |
| NY | 01654044 | 05 | |
| DIDELIS | 040426000781 | 01 | |
| IHA | 3008167 | 01 |
| Street Address |
219 BRYANT STREET |
| City | BUFFALO |
| State | NY |
| Zip Code | 14222-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114915287 | Lynne Marie Fries | Physician Assistant | 219 Bryant Street, Buffalo, NY 14222-2006 | 2005-10-12 |
| 1730619768 | Andrea Fatima D'mello | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Buffalo, NY 14222 | 2017-06-13 |
| 1285169953 | Jackelyn Lau | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Buffalo, NY 14222 | 2017-05-01 |
| 1114450335 | Zaheer Cheema | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Women and Children Hospital, Buffalo, NY 14222 | 2017-04-05 |
| 1053767780 | Traci Punturiero | Dietitian, Registered | 219 Bryant Street, Buffalo, NY 14222-2006 | 2016-05-12 |
| 1265888523 | Viveka Clare De Guerra | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Women & Children's Hospital of Buffalo, Buffalo, NY 14222 | 2016-05-05 |
| 1225415714 | Rim Elchaki | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Women & Children's Hospital of Buffalo, Buffalo, NY 14222 | 2015-05-04 |
| 1114312840 | Mallory Scogin | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Dept. of Obgyn, University At Buffalo, Buffalo, NY 14222 | 2015-03-31 |
| 1518300342 | Rabheh Abdul Aziz | Pediatrics | 219 Bryant Street, Buffalo, NY 14222-2006 | 2013-04-11 |
| 1992019558 | Natasha Gill | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Women & Children's Hospital of Buffalo, Buffalo, NY 14222 | 2010-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414360 | Brittany Marie Dorsey | Registered Nurse | 770 W. Ferry St, Apt 25b, Buffalo, NY 14222 | 2019-06-04 |
| 1215495494 | Tina Colaizzo-anas | Dietitian, Registered | 214 Caudell Hall, 1300 Elmwood Avenue, Buffalo, NY 14222 | 2019-03-07 |
| 1558831560 | Nichole Virag | Doula | 195 Lexington Ave, E, Buffalo, NY 14222 | 2018-12-03 |
| 1487120234 | Lakieta L Smith | Massage Therapist | 820 Elmwood Ave, 5, Buffalo, NY 14222 | 2018-10-19 |
| 1235524646 | Ann Caughill | Registered Nurse | 257 Elmwood Ave., Room 303, Buffalo, NY 14222 | 2015-04-02 |
| 1255608535 | Vinay Sharma | Pediatrics | 239 Bryant Street, Division of Neonatology, Buffalo, NY 14222 | 2011-11-30 |
| 1558644757 | John Arthur Gillespie | Internal Medicine | 190 Bryant St., Buffalo, NY 14222 | 2011-09-23 |
| 1861773384 | Pamela Mary Sheehan-schreck | Nurse Practitioner | 239 Bryant St., 2nd Floor, Buffalo, NY 14222 | 2011-08-30 |
| 1295025286 | Jeanie Bowen Hayes | Specialist/Technologist | 90 Highland Avenue, Buffalo, NY 14222 | 2011-04-12 |
| 1649404260 | Colleen Ann Nugent | Pediatrics | 239 Bryant Str, Women and Children's Hospital of Buffalo, Buffalo, NY 14222 | 2009-05-11 |
| Find all providers in zip 14222 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730712704 | Emma Fitzgerald Larwood | Physical Medicine & Rehabilitation | 2495 Main St Ste 234, Buffalo, NY 14214-2152 | 2020-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801368402 | Marilyn Jones | Physical Medicine & Rehabilitation | 115a Mclean St, Ballston Spa, NY 12020-1833 | 2018-12-19 |
| 1114210150 | Julie Michelle Brandwein | Physical Medicine & Rehabilitation | 309 Lefferts Ave Apt 3, Brooklyn, NY 11225-4114 | 2011-05-24 |
| 1831402759 | Lisa Ann Kaufman | Physical Medicine & Rehabilitation | 15 Chester St, Ardsley, NY 10502-2518 | 2010-07-20 |
| 1447436837 | Saundra Nickens | Physical Medicine & Rehabilitation | 3101 Eastchester Rd, Bronx, NY 10469-3107 | 2008-01-15 |
| 1336299346 | Celeste Dolores Zaffuto | Physical Medicine & Rehabilitation | 1620 157th St, Whitestone, NY 11357-3237 | 2007-01-11 |
| 1104425859 | Kevin James Ludwig | Physical Medicine & Rehabilitation | 18 Broad St, Johnson City, NY 13790-2198 | 2020-10-23 |
| 1649886615 | Elizabeth Colonna | Physical Medicine & Rehabilitation | 98 E 4th St, New York, NY 10003-9001 | 2020-09-16 |
| 1114486727 | Ds Park Slope Physical and Occupational Therapy | Physical Medicine & Rehabilitation | 37 8th Ave, Brooklyn, NY 11217-3901 | 2019-03-14 |
| 1902307184 | Pratyusha Nistala | Physical Medicine & Rehabilitation | 227 W 29th St Rm 3r, New York, NY 10001-5574 | 2018-02-23 |
| 1063826782 | Dara Jones | Physical Medicine & Rehabilitation | 525 East 68th St, Baker Pavilion, 16th Floor, New York, NY 10065 | 2014-06-20 |
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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.