Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Nicholas John Green, PA-C

Individual provider Medical Physician Assistant · NPI 1811580517

Mr. Nicholas John Green, PA-C is a Physician Assistant in Buffalo, New York. Qualified in 2020, 6 years ago. Practices with Community Health Center of Buffalo Inc, a 17-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

34 Benwood Ave
Buffalo, NY 14214-1761
Phone: (716) 986-9199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1183231 (NY)

Record details

NPI number1811580517
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 15, 2021
Last updated in NPPESFebruary 15, 2021
Certification dateFebruary 15, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Community Health Center Of Buffalo Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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