JESSE FODERO MD – NPI #1962935460
Emergency Medicine

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

Health Care Provider Taxonomy Code for Emergency Medicine

JESSE FODERO is a physician located in NIAGARA FALLS, NY. NPPES has assigned the NPI number 1962935460 to JESSE FODERO on April 11, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207PS0010X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Sports Medicine

The NPI profile was previously updated about 5 years ago on Aug 24, 2021. 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 JESSE FODERO below.

NPI Profile for
JESSE FODERO

NPI Number
1962935460
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JESSE FODERO
Credentials
MD
Primary location
6934 WILLIAMS RD STE 600
NIAGARA FALLS, NY 14304-3081
Phone: (716) 204-3200 Fax:
3 Other location(s):
4949 Harlem Rd
Amherst, NY 14226-2500
Phone: (716) 204-3200
100 High St
Buffalo, NY 14203-1126
Phone: (716) 859-1499
Fax: (716) 859-1555
5959 Big Tree Rd Ste 108
Orchard Park, NY 14127-2291
Phone: (716) 204-3200
Mailing address
4225 GENESEE ST STE 400
CHEEKTOWAGA, NY 14225-1994
Phone: (716) 204-3200 Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 24, 2021

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.

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.

Taxonomy Classification / Specialization State License
207PS0010X
- Emergency Medicine / Sports Medicine (Primary)		 NY 304141
207X00000X
- Orthopaedic Surgery		 NY 304141
207P00000X
- Emergency Medicine		 NY 304141

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.

Additional Information

Education
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE - Graduated 2017
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JESSE FODERO is affiliated with the following medical group(s):
  • HOSPITAL
    • KALEIDA HEALTH
      100 HIGH STREET
      BUFFALO, NY 14210
    • NIAGARA FALLS MEMORIAL MEDICAL CENTER
      621 TENTH STREET
      NIAGARA FALLS, NY 14302

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.