Organization Active NPI

Norbert J Szymula MD PC

  • Otolaryngic Allergy Physician
  • Lockport, NY
National Provider Identifier
1093862369
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
124226 Issued in NY
Legal business name
NORBERT J SZYMULA MD PC
Practice address
115 Professional Pkwy
Lockport, NY 14094-5369
Phone
(716) 433-1121
Fax
(716) 433-5425
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Norbert James Szymula, M.D.
Title
President Physician
Phone
(716) 433-1121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0602X 124226 NY Primary

Addresses

Primary practice location

115 Professional Pkwy
Lockport, NY 14094-5369

Mailing address

115 Professional Pkwy
Lockport, NY 14094-5369
Phone (716) 433-1121

Other identifiers 5

IdentifierTypeStateIssuer
000508003001OtherNYBLUE CROSSBLUE SHIELD WNY
00010176701OtherNYUNIVERA PROVIDER
1005373OtherNYINDEPENT HEALTH PROVIDER
00611445MedicaidNY
COL 124226-2OtherNYWORKER COMPENSATION

National Provider Directory

National Provider Directory

Locations

115 Professional Pkwy
Lockport, NY 14094
Phone (716) 433-1121

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093862369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PROFESSIONAL PKWY",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945369",
            "telephone_number": "716-433-1121",
            "fax_number": "716-433-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PROFESSIONAL PKWY",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945369",
            "telephone_number": "716-433-1121",
            "fax_number": "716-433-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORBERT J SZYMULA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SZYMULA",
        "authorized_official_first_name": "NORBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "716-433-1121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NY",
            "license": "124226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUE SHIELD WNY",
            "identifier": "000508003001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA PROVIDER",
            "identifier": "00010176701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENT HEALTH PROVIDER",
            "identifier": "1005373",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00611445",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER COMPENSATION",
            "identifier": "COL 124226-2",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.