Individual provider Active NPI

Nathalie Bousader-Armstrong, M.D.

  • Internal Medicine Physician
  • North Tonawanda, NY
National Provider Identifier
1023066388
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
220944 Issued in NY
Practice address
273 Division St
North Tonawanda, NY 14120-4631
Phone
(716) 725-9000
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 220944 NY Primary

Addresses

Primary practice location

273 Division St
North Tonawanda, NY 14120-4631

Mailing address

273 Division St
North Tonawanda, NY 14120-4631
Phone (716) 725-9000

Other identifiers 1

IdentifierTypeStateIssuer
00354316MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050913000179 NY Practitioner - Internal Medicine 1153354006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Morehouse School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
716 Health Medical, PLLCGroup PAC ID 8325410954, 2 clinicians

Practice addresses (Care Compare)

273 Division St
North Tonawanda, NY 14120-4631
Phone (716) 725-9000

626 N French Rd
Suite 4
North Tonawanda, NY 14120-4631
Phone (716) 725-9000

Hospital & facility affiliations

  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
716 Health Medical, PLLC Internal Medicine CurrentSince Sep 20, 2022 Accepting new patients
General Physician, PC Past Accepting new patients

Locations

273 Division St
#1
North Tonawanda, NY 14120
Phone (716) 725-9000

273 Division St
North Tonawanda, NY 14120
Phone (716) 693-3344

4545 Transit Rd
Ste 500
Williamsville, NY 14221
Phone (716) 725-9000

Interoperability endpoints

  • Direct secure messaging: nathaliebousader-armstrongmd@716health.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1023066388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 DIVISION ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204631",
            "telephone_number": "716-725-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 DIVISION ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204631",
            "telephone_number": "716-725-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSADER-ARMSTRONG",
        "first_name": "NATHALIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354316",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.