Acacia Family Health NP PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F3316771 Issued in NY

Legal business name

ACACIA FAMILY HEALTH NP PLLC

Practice address

702 Davison Rd
Lockport, NY 14094-5371

Phone

(716) 514-9355

NPI assigned

Oct 22, 2010

Organization subpart

No

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

Authorized official

Name

Michael J Ostolski, NP

Title

President

Phone

(716) 514-9355

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dawn Ostolski, N.P.

  • Adult Health Nurse Practitioner
  • Lockport, NY
  • NPI 1255872669
  NPD
• Saman Bahram Chubineh, MD

  • Gastroenterology Physician
  • Williamsville, NY
  • NPI 1861654980
  NPD (past)
• Marietta Schrader, ANP

  • Adult Health Nurse Practitioner
  • Lockport, NY
  • NPI 1265517239
  NPD (past)

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1124328307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945371",
            "telephone_number": "716-514-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945371",
            "telephone_number": "716-514-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACACIA FAMILY HEALTH NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "OSTOLSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-514-9355",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F3316771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0331797",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 104 Old Niagara Road Operating Company, LLC
• Accessibility Solutions of Wny Inc
• Gianna Adamo
• Christopher M. Adams, M.A.E.,EDS.
• David J Adams, PHARMD
• Laurie Ann Adams, P.T.

• All providers in Lockport, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.