Jericho Road Ministries, Inc.
NPI 1619307022 · Federally Qualified Health Center (FQHC) · Buffalo, NY
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jericho Road Ministries, Inc. is a Federally Qualified Health Center (FQHC) organization in Buffalo, NY (NPI 1619307022).
Provider details
- NPI number
- 1619307022
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Jericho Road Ministries Inc.
- Organization subpart
- Yes
- Authorized official
- Jackie Endress, Credentialing Specialist(716) 348-3000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Jericho Road Community Health Center
- Doing business as
- Jericho Road Community Health Center
Additional practice locations (2)
- 1609 Genesee StBuffalo, NY 14211-1616Phone: (716) 892-2775Fax: (716) 597-0554
- 19 Doat StBuffalo, NY 14211-1612Phone: (716) 892-2775Fax: (716) 597-0554
Registry dates
- Enumerated
- 2013-11-21
- Last updated
- 2021-09-09
- Certified
- 2021-08-23
Frequently asked questions
- What is Jericho Road Ministries, Inc.'s NPI number?
- Jericho Road Ministries, Inc.'s National Provider Identifier (NPI) is 1619307022, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jericho Road Ministries, Inc.?
- Jericho Road Ministries, Inc. is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Jericho Road Ministries, Inc. located?
- Jericho Road Ministries, Inc.'s practice location on file with NPPES is 21 Doat Street, Buffalo, NY 14211-1612.
- What is Jericho Road Ministries, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Jericho Road Ministries, Inc. is (716) 892-2775.
- Does Jericho Road Ministries, Inc. accept Medicare?
- Jericho Road Ministries, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jericho Road Ministries, Inc.?
- The authorized official listed on Jericho Road Ministries, Inc.'s NPPES record is Jackie Endress, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jericho Road Ministries, Inc.'s NPI active?
- Yes — Jericho Road Ministries, Inc.'s NPI (1619307022) is active in the NPPES registry as of the last update on 2021-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.