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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
1500 BROADWAY ST |
City | BUFFALO |
State | NY |
Zip Code | 14212-1845 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 14212 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
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] |
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 |
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.