NICOLE CONVERSO (NPI# 1477753036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477753036 |
| Entity Type | Individual |
| Full Name | NICOLE CONVERSO |
| Credential | PA-C |
| Practice Address |
3 Gates Cir Buffalo NY 14209-1120 |
| Mailing Address |
41 Satinwood Dr Cheektowaga NY 14225-3715 |
| Practice Telephone | 7168875880 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2009-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3 GATES CIR |
| City | BUFFALO |
| State | NY |
| Zip Code | 14209-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386631851 | Ajay Chaudhuri | Internal Medicine | 3 Gates Cir, Diabetes Center of Wny, Buffalo, NY 14209-1120 | 2005-09-30 |
| 1780967901 | Cindy R Herberger | Nurse Practitioner | 3 Gates Cir, Buffalo, NY 14209-1120 | 2011-09-23 |
| 1366737751 | Maureen Therese Donovan | Nurse Practitioner | 3 Gates Cir, Buffalo, NY 14209-1120 | 2011-06-14 |
| 1457655011 | Sandra Lee Kelkenberg | Dietitian, Registered | 3 Gates Cir, Buffalo, NY 14209-1120 | 2010-12-22 |
| 1114249695 | Kristen Anne Cercone | Psychologist | 3 Gates Cir, Millard Fillmore Gates Hospital (child Psyc) 8th Floor, Buffalo, NY 14209-1120 | 2010-02-24 |
| 1407096449 | Janice Mortimer Pennington | Nurse Practitioner | 3 Gates Cir, Buffalo, NY 14209-1120 | 2009-03-04 |
| 1417104175 | Denise Lynn Giessert | Psychiatry & Neurology | 3 Gates Cir, Buffalo, NY 14209-1120 | 2008-08-25 |
| 1023276755 | Barbara A Sylvester | Dietitian, Registered | 3 Gates Cir, Buffalo, NY 14209-1120 | 2008-05-29 |
| 1528235181 | Arunan John Thurairajah | Internal Medicine | 3 Gates Cir, Buffalo, NY 14209-1120 | 2008-05-13 |
| 1427220110 | Cowan Physical Medicine & Rehab LLC | Physical Medicine & Rehabilitation | 3 Gates Cir, Buffalo, NY 14209-1120 | 2008-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1881101954 | Western New York Integrated Care Collaborative, Inc. | Dietitian, Registered | 742 Delaware Avenue, Buffalo, NY 14209 | 2018-01-10 |
| 1679021158 | Dawn Harrison | Nurse Practitioner | 935 Delaware Ave., Suite 300, Buffalo, NY 14209 | 2016-09-14 |
| 1194272799 | Joseph Michael Dellavalle | Physical Therapist | 969 Ellicott Street, Buffalo, NY 14209 | 2016-09-01 |
| 1205280245 | Upasana Kochhar | Family Medicine | 1091 Main Street, 301, Williamsville, NY 14209 | 2016-04-15 |
| 1699177485 | Emily Catherine Gorman | Dietitian, Registered | 1084 Delaware Ave, Buffalo, NY 14209 | 2014-09-23 |
| 1003166091 | Kaleida Health | General Acute Care Hospital | 1045 W. Delavan Ave, Buffalo, NY 14209 | 2012-09-17 |
| 1871885798 | Oncomed The Oncology Pharmacy of Buffalo Ny LLC | Pharmacy | 1100 Main St Ste 100, Buffalo, NY 14209 | 2011-05-11 |
| 1740583723 | Aryan Wahab | Student in an Organized Health Care Education/Training Program | 3 Gates Circle, 9th Floor, Millard Filmore Gates Hospital, Buffalo, NY 14209 | 2010-12-13 |
| 1841500873 | Nicole Curtin | Chiropractor | 1275 Main St, Suite 110, Buffalo, NY 14209 | 2010-10-08 |
| Find all providers in zip 14209 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636743 | Elizabeth Ann Smith | Physician Assistant | 1083 Delaware Ave Ste 1, Buffalo, NY 14209-1674 | 2020-07-09 |
| 1720616055 | Carrie Saleh Fisher | Physician Assistant | 729 Tacoma Ave, Buffalo, NY 14216-2519 | 2020-03-31 |
| 1134757438 | Lauren Marie Fickett | Physician Assistant | 726 Exchange St Ste 710, Buffalo, NY 14210-1464 | 2020-03-31 |
| 1578191334 | Stephanie Catherine Reesor | Physician Assistant | 44 Leonard Post Dr, Buffalo, NY 14211-2806 | 2020-03-28 |
| 1679003206 | Amanda Marie Barnhard | Physician Assistant | 237 Linwood Ave Fl 1, Buffalo, NY 14209-2009 | 2017-06-15 |
| 1538692702 | Daniel Patrick | Physician Assistant | 302 W Tupper St, Lower Front, Buffalo, NY 14201-1945 | 2017-04-05 |
| 1902347354 | Alyssa Frndak | Physician Assistant | 2625 Harlem Rd Ste 160, Buffalo, NY 14225-4033 | 2017-03-18 |
| 1306205059 | Nathan Manna | Physician Assistant | 351 Mckinley Pkwy, Buffalo, NY 14220-2227 | 2016-02-22 |
| 1902265085 | Andrea R Miller | Physician Assistant | 77 Goodell St Ste 340, Buffalo, NY 14203-1243 | 2016-02-17 |
| 1811251218 | Emily C Hennessy | Physician Assistant | 1001 Main St # 4, Buffalo, NY 14203-1009 | 2012-06-29 |
| 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.