Active NPI
Erie,Niagara Tonawanda Medical Associates PC
- Otolaryngology Physician
- Williamsville, NY
National Provider Identifier
1275692428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 126606
- Legal business name
- ERIE,NIAGARA TONAWANDA MEDICAL ASSOCIATES PC
- Practice address
- 531 Farber Lakes Dr
Williamsville, NY 14221-5773 - Phone
- (716) 634-6224
- Fax
- (716) 634-3816
- NPI assigned
- Dec 6, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sayeed Nabi, M.D.
- Title
- Medical Physician
- Phone
- (716) 634-6224
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 126606 | NY | Primary |
Addresses
Primary practice location
531 Farber Lakes Dr
Williamsville, NY 14221-5773
Mailing address
531 Farber Lakes Dr
Williamsville, NY 14221-5773
Phone (716) 634-6224
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010124601 | Other | NY | UNIVERA |
| 00611885 | Medicaid | NY | |
| 1000570 | Other | NY | INDEPENDENT HEALTH |
| 0005075471 | Other | NY | BLUE CROSS WNY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6645 Main St
Williamsville, NY 14221
Phone (716) 631-0932
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Otolaryngology Physician
- Williamsville, NY
- NPI 1306899380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275692428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 FARBER LAKES DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215773",
"telephone_number": "716-634-6224",
"fax_number": "716-634-3816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 FARBER LAKES DR",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215773",
"telephone_number": "716-634-6224",
"fax_number": "716-634-3816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIE,NIAGARA TONAWANDA MEDICAL ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "NABI",
"authorized_official_first_name": "SAYEED",
"authorized_official_title_or_position": "MEDICAL PHYSICIAN",
"authorized_official_telephone_number": "716-634-6224",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "126606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010124601",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00611885",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "1000570",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS WNY",
"identifier": "0005075471",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
- Episcopal Church Home & Affiliates Life Care Community, Inc (DBA Canterbury Woods)
- Barry Michael Epstein, MD
- Barbara J Erick
- Erie Canal Endodontics, PLLC
- Erie Niagara Neurosurgery PLLC
- Erika M. Malinowski RN NP in Psychiatry PLLC
- Susan Catherine Erk, DO
- Geraldine Erokwu
- Justin Ertel-Redfield, LMT
- Tammy Bernadette Ervolina-Kroll, RPA-C
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.