Organization Active NPI

Omega Health and Wellness LLC

  • Pediatric Nurse Practitioner
  • Hamburg, NY
National Provider Identifier
1295010239
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F381390-1 Issued in NY
Legal business name
OMEGA HEALTH AND WELLNESS LLC
Practice address
5893 Camp Rd
Suite 9
Hamburg, NY 14075-4470
Phone
(716) 648-5500
Fax
(716) 648-7196
NPI assigned
Oct 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Rosemarie McGiveron
Title
Vice President
Phone
(716) 648-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X F381390-1 NY Primary

Addresses

Primary practice location

5893 Camp Rd
Suite 9
Hamburg, NY 14075-4470

Mailing address

5893 Camp Rd
Suite 9
Hamburg, NY 14075-4470
Phone (716) 648-5500

National Provider Directory

National Provider Directory

Locations

5893 Camp Rd
Ste 9
Hamburg, NY 14075
Phone (716) 648-5500

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1295010239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5893 CAMP RD",
            "address_2": "SUITE 9",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754470",
            "telephone_number": "716-648-5500",
            "fax_number": "716-648-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5893 CAMP RD",
            "address_2": "SUITE 9",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754470",
            "telephone_number": "716-648-5500",
            "fax_number": "716-648-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "MCGIVERON",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "716-648-5500"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381390-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.