Niagara Advantage Health Plan, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

NIAGARA ADVANTAGE HEALTH PLAN, LLC

Practice address

7 Limestone Dr
Williamsville, NY 14221-7051

Phone

(716) 633-3900

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Gregory B. Hook

Title

Chief Compliance Officer

Phone

(212) 802-7609

Specialties & licenses 1

Addresses

Other names 1

• Elderwood Health Plan Doing business as

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1396124772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LIMESTONE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217051",
            "telephone_number": "716-633-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LIMESTONE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217051",
            "telephone_number": "716-633-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA ADVANTAGE HEALTH PLAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "HOOK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "212-802-7609",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elderwood Health Plan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Newman, LPN
• Jay L Newman, MD
• Brian Newton, PT, DPT
• Amela Nezha, FNP
• Thao Thanh Nguyen, PT DPT
• Niagara Hospitalist, PC
• Kimberly Nice
• Christopher Nicholas, MD
• Cheryl Nicholson
• Deborah Marie Nicholson

• Health Maintenance Organization in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.