NPIMap

Organization Active NPI

Niagara Falls Urgent Care

  • Urgent Care Clinic/Center
  • Niagara Falls, NY
National Provider Identifier
1205368172
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
242962 Issued in NY
Legal business name
NIAGARA FALLS URGENT CARE
Practice address
3117 Military Rd Ste 2
Niagara Falls, NY 14304-4813
Phone
(716) 297-2052
Fax
(855) 409-5577
NPI assigned
Mar 30, 2017
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SOM MEDICAL PRACTICE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Santanu Som, MDNPI 1568678316
Title
President
Phone
(516) 661-5621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X 242962 NY Primary

Addresses

Primary practice location

3117 Military Rd Ste 2
Niagara Falls, NY 14304-4813

Mailing address

3117 Military Rd
Niagara Falls, NY 14304-4813
Phone (716) 297-2052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180523000720 NY Part B Supplier - Clinic/Group Practice 1951666908 Receives reassigned benefits from 12 practitioners
Practice locations: Hamburg, NY; Williamsville, NY; Olean, NY; Niagara Falls, NY; Depew, NY

National Provider Directory

National Provider Directory
Part of
Lockport Primary Care

Locations

3117 Military Rd
#2
Niagara Falls, NY 14304
Phone (716) 257-1254

901 Wayne St
Olean, NY 14760
Phone (716) 257-1254

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1205368172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044813",
            "telephone_number": "716-297-2052",
            "fax_number": "716-215-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 MILITARY RD STE 2",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044813",
            "telephone_number": "716-297-2052",
            "fax_number": "855-409-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA FALLS URGENT CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOM MEDICAL PRACTICE PLLC",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "SOM",
        "authorized_official_first_name": "SANTANU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-661-5621",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "242962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.