NPIMap

Organization Active NPI

Women's Medicine of Niagara, PLLC

  • Obstetrics & Gynecology Physician
  • Lewiston, NY
National Provider Identifier
1477875110
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMEN'S MEDICINE OF NIAGARA, PLLC
Practice address
5320 Military Rd
Ste 103/104
Lewiston, NY 14092-2149
Phone
(716) 297-9379
Fax
(716) 297-4638
NPI assigned
Feb 23, 2010
Last updated
Feb 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Authorized official

Name
Donna Azam Feldman, MDNPI 1871579003
Title
Owner
Phone
(716) 297-9379

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)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

5320 Military Rd
Ste 103/104
Lewiston, NY 14092-2149

Mailing address

908 Niagara Falls Blvd
Ste 208
N Tonawanda, NY 14120-2019
Phone (716) 692-3302

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100609000272 NY Part B Supplier - Clinic/Group Practice 9739219387 Receives reassigned benefits from 4 practitioners
Practice locations: Lewiston, NY

National Provider Directory

National Provider Directory

Locations

2279 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 297-9379

5320 Military Rd
Ste 103104
Lewiston, NY 14092
Phone (716) 297-9379

5927 Military Rd
Lewiston, NY 14092
Phone (716) 297-9379

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GICIAA

Practitioners & affiliated clinicians

Practitioners 9

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": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1477875110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD",
            "address_2": "STE 208",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-3302",
            "fax_number": "716-332-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 MILITARY RD",
            "address_2": "STE 103/104",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140922149",
            "telephone_number": "716-297-9379",
            "fax_number": "716-297-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S MEDICINE OF NIAGARA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "AZAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-297-9379",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.