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JERICHO ROAD COMMUNITY HEALTH CENTER
NPI 1205474681
Clinic/Center - Federally Qualified Health Center (FQHC) in Buffalo, NY

Active since December 16, 2019CLIA Certified · 2 labs
100 E TUPPER ST, BUFFALO, NY 14203(716) 881-6191 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2021, May 14, 2021, Dec 16, 2019 (3 updates tracked since 2019).

About Jericho Road Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERICHO ROAD COMMUNITY HEALTH CENTER (NPI 1205474681) is a healthcare organization registered as a federally qualified health center (fqhc) in Buffalo, New York and active in the NPI registry since December 2019. The organization holds 2 active CLIA laboratory certificates and lists Jackie Endress, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1205474681
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameJERICHO ROAD MINISTRIES, INC.
Location Address100 E TUPPER STBuffalo, NY 14203-1315
Mailing Address100 E Tupper StBuffalo, NY 14203-1315 · (716) 919-6870 · Fax (716) 919-6871
Phone(716) 881-6191
Organization SubpartYes
Authorized OfficialJackie EndressCredentialing Specialist · (716) 348-3000
Enumeration DateDecember 16, 2019
Last NPPES UpdateAugust 23, 20213 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
✔ NPI 1205474681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
100 E TUPPER ST, Buffalo, NY 14203
Open in Google Maps ↗

Other Names 1

Doing Business AsJericho Road Community Health Center

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2193162

Jericho Road Community Health Center · Buffalo, NY
Active · expires Mar 26, 2027
CLIA Number33D2193162
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 17, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorCaroline J. Rath
Laboratory Phone(716) 919-6870
Laboratory LocationJericho Road Community Health Center100 E Tupper St, Buffalo, NY 14203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D0930191

Jericho Road Community Health Center · Buffalo, NY
Active · expires Mar 26, 2027
CLIA Number33D0930191
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2015
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Thant K. Aung
Laboratory Phone(716) 348-3000
Laboratory LocationJericho Road Community Health Center184 Barton Street, Buffalo, NY 14213
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YASSIN ABDIKADIR
Peer Specialist
100 E TUPPER ST
BUFFALO, NY 14203
Erie County (716) 539-6743
NOAH JAMES TOWNSON
Social Worker
100 E TUPPER ST
BUFFALO, NY 14203
Erie County (716) 539-6743
KARYANNE CARRIZALES PA-C
Physician Assistant (Medical)
100 E TUPPER ST
BUFFALO, NY 14203
Erie County (716) 919-6870
DR. DANIEL JACKSON SMITH PHD, AGPCNP-BC, CNE
Nurse Practitioner
100 E TUPPER ST
BUFFALO, NY 14203
Erie County (716) 919-6870
MS. CAROLINE JEAN RATH PA
Physician Assistant
100 E TUPPER ST
BUFFALO, NY 14203
Erie County (716) 919-6870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jericho Road Ministries, Inc.'s NPI number?

The NPI number for Jericho Road Ministries, Inc. is 1205474681. It was assigned to this organization in the NPPES registry on December 16, 2019. The provider is doing business as Jericho Road Community Health Center.

Where is Jericho Road Ministries, Inc. located?

Jericho Road Ministries, Inc. is located at 100 E Tupper St, Buffalo, NY 14203. The listed phone number is (716) 881-6191.

What is Jericho Road Ministries, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Jericho Road Ministries, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Jericho Road Ministries, Inc. was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.