Niagara Family Medicine Associates,PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

150366 Issued in NY

Legal business name

NIAGARA FAMILY MEDICINE ASSOCIATES,PC

Practice address

7300 Porter Rd
Niagara Falls, NY 14304-5705

Phone

(716) 298-5862

Fax

(716) 285-3622

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jerome C Andres, MDNPI 1063410108

Title

President

Phone

(716) 298-5862

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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.

• Jerome C Andres, M.D.

  • Family Medicine Physician
  • Niagara Falls, NY
  • NPI 1063410108
  Authorized official Same address or phone

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568412450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 PORTER RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143045705",
            "telephone_number": "716-298-5862",
            "fax_number": "716-285-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 PORTER RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143045705",
            "telephone_number": "716-298-5862",
            "fax_number": "716-285-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA FAMILY MEDICINE ASSOCIATES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRES",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-298-5862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "150366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02533360",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5997588",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00030588601",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niagara Falls Memorial Medical Center
• Niagara Falls Open MRI,LLC (Open MRI of Niagara Falls, LLC)
• Niagara Falls Physician Associates P.C.
• Niagara Falls Urgent Care
• Niagara Falls Urgent Center, Inc
• Niagara Geriatric Center (Niagara Rehabiliation and Nursing Center)
• Niagara Home Services LLC (Home Helpers & Direct Link)
• Niagara Labmasters, Inc.
• Niagara Medical Services, P.C.
• Niagara Nephrology, PC

• Family Medicine Physician in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Family Medicine Physician in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.