Individual provider Active NPI

Eric Edward Dean, RPAC

  • Surgical Physician Assistant
  • Lockport, NY
National Provider Identifier
1235157355
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
009368-1 Issued in NY
Practice address
46 Davison CT
Lockport, NY 14094-5370
Phone
(716) 433-2973
Fax
(716) 438-9267
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 009368-1 NY Primary

Addresses

Primary practice location

46 Davison CT
Lockport, NY 14094-5370

Mailing address

46 Davison CT
Lockport, NY 14094-5370
Phone (716) 433-2973

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040130000738 NY Practitioner - Physician Assistant 8325941859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eric P Roger MD PLLCGroup PAC ID 5799911889, 4 clinicians

Practice addresses (Care Compare)

869 Delaware Ave
Buffalo, NY 14209-2099
Phone (716) 853-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009368-1NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric P Roger MD PLLC CurrentSince Apr 6, 2026 Accepting new patients

Locations

700 Michigan Ave
Buffalo, NY 14203
Phone (716) 854-5700

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235157355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 DAVISON CT",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945370",
            "telephone_number": "716-433-2973",
            "fax_number": "716-438-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 DAVISON CT",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945370",
            "telephone_number": "716-433-2973",
            "fax_number": "716-438-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "ERIC",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "009368-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.