Provider Demographics
NPI:1932171659
Name:REW, JAMES PAUL (PA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PAUL
Last Name:REW
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:500 STERLING DR
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1573
Mailing Address - Country:US
Mailing Address - Phone:716-677-2273
Mailing Address - Fax:716-677-2477
Practice Address - Street 1:500 STERLING DR
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1573
Practice Address - Country:US
Practice Address - Phone:716-677-2273
Practice Address - Fax:716-677-2477
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00025434403OtherUNIVERA
NY161511795OtherNORTH AMERICAN
NY161511795OtherNOVA
NY397266OtherMVP
NY198231OtherPREFERRED CARE
NY9512162OtherINDEPENDENT HEALTH
NYP019004195OtherEXCELLUS BLUE CHOICE
NY161511795OtherHUMANA
NY000570018009OtherCOMMUNITY BLUE
NY000570018009OtherCOMMUNITY BLUE
NY397266OtherMVP