JERICHO ROAD COMMUNITY HEALTH CENTER
NPI 1619307022
Clinic/Center - Federally Qualified Health Center (FQHC) in Buffalo, NY

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

The NPI number for Jericho Road Ministries, Inc. is 1619307022. It was assigned to this organization in the NPPES registry on November 21, 2013. The provider is doing business as Jericho Road Community Health Center.

Q: 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.

Active since November 21, 2013CLIA 33D2193165 · Microscopy

21 DOAT STREET, BUFFALO, NY 14211(716) 892-2775(716) 597-0554 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 9, 2021, May 6, 2021, Feb 16, 2021 and 3 more (6 updates tracked since 2018).

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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 1619307022) is a healthcare organization registered as a federally qualified health center (fqhc) in Buffalo, New York and active in the NPI registry since November 2013. The organization holds a CLIA Microscopy certificate valid through March 26, 2027, maintains 2 additional practice locations, and lists Jackie Endress, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1619307022

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameJERICHO ROAD MINISTRIES, INC.

Location Address21 DOAT STREETBuffalo, NY 14211-1612

Mailing Address21 Doat StreetBuffalo, NY 14211-1616 · (716) 892-2775 · Fax (716) 597-0554

Phone(716) 892-2775

Fax(716) 597-0554

Organization SubpartYesParent: Jericho Road Ministries Inc.

Authorized OfficialJackie EndressCredentialing Specialist · (716) 348-3000

Enumeration DateNovember 21, 2013

Last NPPES UpdateSeptember 9, 20216 updates tracked since enumeration

NPPES CertifiedAugust 23, 2021

✔ NPI 1619307022 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

21 DOAT STREET, Buffalo, NY 14211

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Other Names 1

Doing Business AsJericho Road Community Health Center

Secondary Practice Locations 2

Location 11609 Genesee StBuffalo, NY 14211-1616 · Phone (716) 892-2775 · Fax (716) 597-0554

Location 219 Doat StBuffalo, NY 14211-1612 · Phone (716) 892-2775 · Fax (716) 597-0554

CLIA Laboratory Certificates CMS CLIA

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) 33D2193165

Jericho Road Community Health Center · Buffalo, NY

Active · expires Mar 26, 2027

CLIA Number33D2193165

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 17, 2020

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorMs. Takesha L. Leonard

Laboratory Phone(716) 892-2775

Laboratory LocationJericho Road Community Health Center21 Doat St, Buffalo, NY 14211

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.

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 1619307022. It was assigned to this organization in the NPPES registry on November 21, 2013. 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 21 Doat Street, Buffalo, NY 14211. The listed phone number is (716) 892-2775.

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 a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2193165) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jericho Road Ministries, Inc. was last updated on September 9, 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.