JERICHO ROAD MINISTRIES INC. – NPI #1972944080
Clinic/Center

JERICHO ROAD MINISTRIES INC. is an AHC clinic located in BUFFALO, NY. NPPES has assigned the NPI number 1972944080 to JERICHO ROAD MINISTRIES INC. on July 17, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Aug 05, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JERICHO ROAD MINISTRIES INC. below.

NPI Profile for
JERICHO ROAD MINISTRIES INC.

NPI Number
1972944080
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JERICHO ROAD MINISTRIES INC.
Primary location
184 BARTON ST
BUFFALO, NY 14213
Phone: (716) 881-6191 Fax: (716) 881-6247
1 Other location(s):
1500 Main St
Buffalo, NY 14209-1722
Phone: (716) 503-9777
Fax: (716) 503-9778
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACKIE ENDRESS
CREDENTIALING SPECIALIST
Phone: (716) 348-3000
Updated
Certification Date
Aug 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JERICHO ROAD MINISTRIES INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherNYS OPERATING LICENSENY1401237R
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.