Healthcare Provider Details

I. General information

NPI: 1609849215
Provider Name (Legal Business Name): JAMES JASON CONLEY NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 STERLING DR
ORCHARD PARK NY
14127-1573
US

IV. Provider business mailing address

3085 HARLEM RD STE 350
CHEEKTOWAGA NY
14225-2591
US

V. Phone/Fax

Practice location:
  • Phone: 716-677-2273
  • Fax: 716-677-2256
Mailing address:
  • Phone: 716-844-5600
  • Fax: 716-844-5750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF334090
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF334090
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF334090
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: