MR. NICHOLAS JOHN GREEN PA-C
NPI 1811580517
Physician Assistant - Medical in Buffalo, NY

Active since February 15, 2021PECOS EnrolledAccepts Medicare Assignment
34 BENWOOD AVE, BUFFALO, NY 14214(716) 986-9199 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Nicholas John Green Pa-c NPPES

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

MR. NICHOLAS JOHN GREEN PA-C (NPI 1811580517) is an individual medical provider in Buffalo, New York, licensed in New York (1183231) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1811580517
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. NICHOLAS JOHN GREENCredential: PA-C
Location Address34 BENWOOD AVEBuffalo, NY 14214-1761
Mailing Address34 Benwood AveBuffalo, NY 14214-1761 · (716) 986-9199
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 15, 2021
NPPES CertifiedFebruary 15, 2021
NPI 1811580517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 1183231
34 BENWOOD AVE, Buffalo, NY 14214

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Nicholas John Green Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305232240
PECOS Enrollment IDI20220401001563
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Internal Medicine
34 BENWOOD AVE
BUFFALO, NY 14214
Family Medicine
34 BENWOOD AVE
BUFFALO, NY 14214
Social Worker
34 BENWOOD AVE
BUFFALO, NY 14214
Physical Therapist
34 BENWOOD AVE
BUFFALO, NY 14214
Counselor
34 BENWOOD AVE
BUFFALO, NY 14214
Family Medicine
34 BENWOOD AVE
BUFFALO, NY 14214
Physician Assistant
34 BENWOOD AVE
BUFFALO, NY 14214
Family Medicine
34 BENWOOD AVE
BUFFALO, NY 14214

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 Nicholas Green's NPI number?

The NPI number for Nicholas Green is 1811580517. It was assigned to this individual provider in the NPPES registry on February 15, 2021.

Where is Nicholas Green located?

Nicholas Green practices at 34 Benwood Ave, Buffalo, NY 14214. The listed phone number is (716) 986-9199.

What is Nicholas Green's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicholas Green enrolled in Medicare?

Yes. Nicholas Green is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nicholas Green affiliated with any hospitals?

According to CMS data, Nicholas Green is affiliated with Kaleida Health.

When was this NPI record last updated?

The NPPES record for Nicholas Green was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.