Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jesse Fodero, MD

Individual provider Emergency Medicine Physician · NPI 1962935460

Mr. Jesse Fodero, MD is a Sports Medicine in Niagara Falls, New York. Graduated from State University of New York at Buffalo School of Medicine in 2017, 9 years ago. Practices with University Emergency Medical Services Inc, a 91-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6934 Williams Rd Ste 600
Niagara Falls, NY 14304-3081
Phone: (716) 204-3200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4949 Harlem Rd, Amherst, NY 14226-2500 — (716) 204-3200
  • 100 High St, Buffalo, NY 14203-1126 — (716) 859-1499
  • 5959 Big Tree Rd Ste 108, Orchard Park, NY 14127-2291 — (716) 204-3200

Specialties & licences

Sports Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PS0010X · Licence 304141 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 304141 (NY)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 304141 (NY)

Record details

NPI number1962935460
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2017
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice University Emergency Medical Services Inc. — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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