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

NPI Status: Active since February 15, 2021

Contact Information

34 BENWOOD AVE
BUFFALO, NY
ZIP 14214
Phone: (716) 986-9199

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  • Individual
  • Male
  • Years of Experience 6
  • Physician Assistant
  • Medical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NICHOLAS GREEN

This page provides the complete NPI Profile along with additional information for Nicholas Green, a primary care provider established in Buffalo, New York with a medical specialization in Physician Assistant, focusing in medical and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1811580517 assigned on February 2021. The practitioner's primary taxonomy code is 363AM0700X with license number 1183231 (NY). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1811580517
Provider Name
MR. NICHOLAS JOHN GREEN PA-C
Gender
Male
Entity Type
Individual
Location Address
34 BENWOOD AVE BUFFALO, NY 14214
Location Phone
(716) 986-9199
Mailing Address
34 BENWOOD AVE BUFFALO, NY 14214
Mailing Phone
(716) 986-9199
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
02-15-2021
Last Update Date
02-15-2021
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A primary care provider (PCP) like Nicholas Green sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
1183231
License State
NY

Medicare Participation & PECOS Enrollment Status

Nicholas Green is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Nicholas Green is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6305232240

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220401001563

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MR. NICHOLAS JOHN GREEN PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1811580517
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2821108052
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 1 + 0 + 8 + 0 + 5 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1811580517 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124014774ST FRANCIS GERIATRIC & HEALTHCARE FACILITY
Organization
Nursing Facility/Intermediate Care Facility34 BENWOOD AVE
BUFFALO, NY 14214
(716) 862-2501
1407179534HMB PHARMACY MANAGEMENT LLC
Organization
Pharmacy (Community/Retail Pharmacy)34 BENWOOD AVE
BUFFALO, NY 14214
(716) 332-6811
1568721819MR. FURQAN AHMED FNP
Individual
Nurse Practitioner (Family)34 BENWOOD AVE
BUFFALO, NY 14214
(716) 986-9199
1184645905 CHRISTIANE H DAGHER MD
Individual
Pediatrics34 BENWOOD AVE
BUFFALO, NY 14214
(716) 986-9199
1942301189DR. TINH TRUNG DAO MD
Individual
Internal Medicine34 BENWOOD AVE
BUFFALO, NY 14214
(716) 986-9199
1790787919COMMUNITY HEALTH CENTER OF BUFFALO, INC.
Organization
Clinic/Center (Community Health)34 BENWOOD AVE
BUFFALO, NY 14214
(716) 986-9199
1740381524 PAMELA REED MD
Individual
Internal Medicine34 BENWOOD AVE
BUFFALO, NY 14214
(716) 986-9199
1417244773 PETER FRANCIS MCKENNA P.A.
Individual
Physician Assistant34 BENWOOD AVE
BUFFALO, NY 14214
(716) 986-9199
1306044185MRS. TARA CHAMINE JEFFERSON RN
Individual
Registered Nurse (Medical-Surgical)34 BENWOOD AVE
BUFFALO, NY 14214
(716) 986-9199
1881193613MRS. SEJAL DHAVALKUMAR SHAH PHARMACIST(B.PHARM.)
Individual
Pharmacist34 BENWOOD AVE
BUFFALO, NY 14214
(716) 332-6811
1932753217MS. MARY LOUISE WALKER MASTER SOCIAL WORKER
Individual
Social Worker34 BENWOOD AVE
BUFFALO, NY 14214
(716) 986-9199
1053930834DR. BHARAT KOHLI MD
Individual
Family Medicine34 BENWOOD AVE
BUFFALO, NY 14214
(716) 572-3053
1780207530 KEVIN COSTANZO RD
Individual
Dietitian, Registered34 BENWOOD AVE
BUFFALO, NY 14214
(716) 989-9199
1962015719MRS. MICHELLE RENEE SMITH FNP
Individual
Nurse Practitioner (Family)34 BENWOOD AVE
BUFFALO, NY 14214
(716) 986-9199
1558937441MRS. MARY KATHERINE KOSOWSKI A-GNP-C
Individual
Nurse Practitioner (Adult Health)34 BENWOOD AVE
BUFFALO, NY 14214
(716) 986-9199
1093121220 SHAHLA AHMAD M.D.
Individual
Family Medicine34 BENWOOD AVE
BUFFALO, NY 14214
(716) 986-9199
1033833710MS. KIMBERLEY MARIE HOLLIS PHD
Individual
Social Worker34 BENWOOD AVE
BUFFALO, NY 14214
(716) 986-9199
1467034249 SAMER ISA
Individual
Dentist34 BENWOOD AVE
BUFFALO, NY 14214
(716) 986-9199
1245919133 SCOTT CHRISTOPHER MATHEIS JR.
Individual
Nurse Practitioner (Psychiatric/Mental Health)34 BENWOOD AVE
BUFFALO, NY 14214
(716) 213-8350
1629760855 SHANE GRAYSON PA-C
Individual
Physician Assistant34 BENWOOD AVE
BUFFALO, NY 14214
(716) 986-9199

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811580517, enumerated in the NPI registry as an "individual" on February 15, 2021

The provider is located at 34 Benwood Ave Buffalo, Ny 14214 and the phone number is (716) 986-9199

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 6 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on February 15, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.