PAUL L. FAZEKAS (NPI# 1194745802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194745802 |
| Entity Type | Individual |
| Full Name | PAUL L. FAZEKAS |
| Credential | PH.D, N.P |
| Practice Address |
465 Payne Ave N Tonawanda NY 14120-6941 |
| Mailing Address |
525 Washington St Managed Care Department Buffalo NY 14203-1711 |
| Practice Telephone | 7166947749 |
| Practice Fax Number | 7166940793 |
| Mailing Telephone | 7168564494 |
| Mailing Fax Number | 7168421277 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
OF400720 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | COMMUNITY BLUE | 000500587004 | 01 |
| NY | UNIVERA | 00030241505 | 01 |
| Street Address |
465 PAYNE AVE |
| City | N TONAWANDA |
| State | NY |
| Zip Code | 14120-6941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245258052 | Michelle L. Sciria | Counselor | 465 Payne Ave, N Tonawanda, NY 14120-6941 | 2006-07-18 |
| 1124040233 | Michelle E. Waney | Counselor | 465 Payne Ave, N Tonawanda, NY 14120-6941 | 2006-07-25 |
| 1467486688 | Cindy A. Brofcak | Counselor | 465 Payne Ave, N Tonawanda, NY 14120-6941 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894888 | Theresa Lynn Rogers | Driver | 40 Carruthers Pl, North Tonawanda, NY 14120 | 2019-08-01 |
| 1861969065 | Christine Elizabeth Oliveri | Physician Assistant | 7348 Graydon Dr., North Tonawanda, NY 14120 | 2018-10-26 |
| 1619444825 | Katherine Gabrielle Rodriguez | Physician Assistant | 6929 Maple Dr., North Tonawanda, NY 14120 | 2018-10-25 |
| 1598204703 | Vicki Ann Dimaria | Registered Nurse | 624 River Road, Suite 8, North Tonawanda, NY 14120 | 2017-02-21 |
| 1720537442 | Twin Cities Meals On Wheels | Home Delivered Meals | 100 Ridge Road, North Tonawanda, NY 14120 | 2016-09-22 |
| 1558712489 | Adeel Amir | Family Medicine | 1089 Kinkead Ave Ste 111, North Tonawanda, NY 14120 | 2016-06-22 |
| 1962850339 | Mary Elizabeth T. Wellence | Counselor | 3376 Niagara Falls Blvd., Suite 5, North Tonawanda, NY 14120 | 2016-05-26 |
| 1154745677 | John Meena Yacoub | Dentist | 30-18 208th St, Bayside, NY 14120 | 2014-02-05 |
| 1780934588 | Patricia Bogdan | Registered Nurse | 89 B River Road, North Tonawanda, NY 14120 | 2012-09-19 |
| 1073871299 | Nicole Kerner | Social Worker | 455 Meadow Drive, North Tonawanda, NY 14120 | 2012-04-25 |
| Find all providers in zip 14120 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | N TONAWANDA |
| Zip Code | 14120 |
Please comment or provide details below to improve the information on PAUL L. FAZEKAS.
| 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.