Jennifer G Henderson Family Practice
462 Grider St, Fl 11, Buffalo, NY 14215-3021


Jennifer G Henderson is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1902123888. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 4587888268. The primary specialty is FAMILY PRACTICE. The organization is ACADEMIC MEDICINE SERVICES, INC.. The address is 462 Grider St, Fl 11, Buffalo, NY 14215-3021. The zip code is 14215.


Jennifer G Henderson · 462 Grider St, Fl 11, Buffalo, NY 14215-3021

Nation Provider ID 1902123888
PAC ID by PECOS 4587888268
Professional Enrollment ID I20140827002280
Last Name HENDERSON
First Name JENNIFER
Middle Name G
Gender F
Medical School Name OTHER
Graduation Year 2010
Primary Specialty FAMILY PRACTICE
Secondary Specialties OSTEOPATHIC MANIPULATIVE MEDICINE, SLEEP MEDICINE
Primary Specialty ACADEMIC MEDICINE SERVICES, INC.
Phone Number 7168984803
Group Practice PAC ID 0941105241
Number of Group Practice Members 199
Address 462 GRIDER ST
FL 11
BUFFALO, NY 142153021
Claims Based Hospital Affiliation Claim Control Number (CCN): 330102
Legal Business Name: KENMORE MERCY HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 330078
Legal Business Name: SISTERS OF CHARITY HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 330005
Legal Business Name: KALEIDA HEALTH
Professional accepts Medicare Assignment Y
Report Quality Measures Y

street_number: 462
route: Grider Street (Grider St)
neighborhood, political: Grider
locality, political: Buffalo
admin_level_2, political: Erie County
admin_level_1, political: New York (NY)
country, political: United States (US)
postal_code: 14215
postal_code_suffix: 3021
types : street_address
latitude: 42.9254225
longitude: -78.8313324
latlng: (42.9254225, -78.8313324)


Academic Medicine Services, Inc. · Medicare Physician

Name Address Specialty
Daniel Miori 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT
Joseph Ziobro 100 High St, Buffalo, NY 14203-1126 NURSE PRACTITIONER
Shirley Duane 462 Grider St, Buffalo, NY 14215-3021 NURSE PRACTITIONER
Kristin Webb 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT
Vincent Lee 100 High St, Buffalo, NY 14203-1126 INTERNAL MEDICINE
Sarah Dixon 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT
Alyson Brown 100 High St, Buffalo, NY 14203-1126 NURSE PRACTITIONER
Madan Gowda 462 Grider St, Buffalo, NY 14215-3021 NEPHROLOGY
Julie Schmidt 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT
Susan Gallagher 462 Grider St, Buffalo, NY 14215-3021 INTERNAL MEDICINE
Heidi Beintrexler 462 Grider St, Buffalo, NY 14215-3021 INTERNAL MEDICINE
Patricia Smith 462 Grider St, Buffalo, NY 14215-3021 NURSE PRACTITIONER
Cristi Morotchie 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT
Victoria Boorman 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT
Matthew Rusk 100 High St, Buffalo, NY 14203-1126 INTERNAL MEDICINE
Jeong Min Kim 100 High St, Buffalo, NY 14203-1126 INTERNAL MEDICINE
Dzenita Manning 100 High St, Buffalo, NY 14203-1126 INTERNAL MEDICINE
Jimmy Bajaj 100 High St, Buffalo, NY 14203-1126 FAMILY PRACTICE
Crystal Butski 100 High St, Buffalo, NY 14203-1126 NURSE PRACTITIONER
Caitlin Ullery 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT

Zip 14215 · Family Practice · Medicare Physician

Name Address Specialty
Gregory Schenk 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Saburo Okazaki 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Roseanne Berger 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Daniel Morelli 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Fahim Tazwar 462 Grider St, Buffalo, NY 14215-3021 FAMILY PRACTICE
Diana Wilkins 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Priyanka Patnaik 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Albert Addesa 1616 Kensington Ave, Buffalo, NY 14215-1433 FAMILY PRACTICE
Antonia Redhead 462 Grider St, Buffalo, NY 14215-3021 FAMILY PRACTICE
Ranjit Singh 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Jacqueline Heim 1616 Kensington Ave, Buffalo, NY 14215-1433 FAMILY PRACTICE
Peter Kowalski 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Patrick Glasgow 462 Grider St, Buffalo, NY 14215-3021 FAMILY PRACTICE
Robert Lugo 462 Grider St, Buffalo, NY 14215-3021 FAMILY PRACTICE
Mohammadreza Azadfard 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Masashi Ohira 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Kim Griswold 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Andrea Manyon 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
David Holmes 462 Grider St, Buffalo, NY 14215-3021 FAMILY PRACTICE
Jeanette Figueroa 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE

Zip 14215 · Medicare Physician

Name Address Specialty
David Thomas 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Aaron Pack 462 Grider St, Buffalo, NY 14215-3021 NURSE PRACTITIONER
Robert Ciepiela 2992 Bailey Ave, Buffalo, NY 14215-2812 PODIATRY
Pratibha Bansal 1515 Kensington Ave, Buffalo, NY 14215-1436 ANESTHESIOLOGY
Sergio Hernandez 462 Grider St, Buffalo, NY 14215-3021 PSYCHIATRY
Ashvin Tadakamalla 462 Grider St, Buffalo, NY 14215-3021 INTERNAL MEDICINE
Alpen Patel 462 Grider St, Buffalo, NY 14215-3021 INTERNAL MEDICINE
Raphael Leo 462 Grider St, Buffalo, NY 14215-3021 PSYCHIATRY
Edwin Anand 462 Grider St, Buffalo, NY 14215-3021 NEPHROLOGY
Khalid Kakish 462 Grider St, Buffalo, NY 14215-3021 PEDIATRIC MEDICINE
Paresh Dandona 462 Grider St, Buffalo, NY 14215-3021 ENDOCRINOLOGY
William Flynn 462 Grider St, Buffalo, NY 14215-3021 GENERAL SURGERY
Sadashiv Shenoy 462 Grider St, Buffalo, NY 14215-3021 DIAGNOSTIC RADIOLOGY
Richard Quigg 462 Grider St, Buffalo, NY 14215-3021 NEPHROLOGY
Lakshmanan Rajendran 3649 Harlem Rd, Cheektowaga, NY 14215-2013 PLASTIC AND RECONSTRUCTIVE SURGERY
Devinalini Misir 462 Grider St, Buffalo, NY 14215-3021 PSYCHIATRY
Eric Ten Brock 462 Grider St, Buffalo, NY 14215-3021 PULMONARY DISEASE
Vijay Iyer 462 Grider St, Buffalo, NY 14215-3021 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Augustine Ryan 462 Grider St, Buffalo, NY 14215-3021 ENDOCRINOLOGY
Marcella Zynda 462 Grider St, Buffalo, NY 14215-3021 NURSE PRACTITIONER