NPIMap

Organization Active NPI

Niagara Falls Physician Associates P.C.

  • Gastroenterology Physician
  • Niagara Falls, NY
National Provider Identifier
1568525871
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
157035 Issued in NY
Legal business name
NIAGARA FALLS PHYSICIAN ASSOCIATES P.C.
Practice address
620 10TH St
Suite 710
Niagara Falls, NY 14301-1841
Phone
(716) 285-1133
Fax
(716) 285-1179
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Michelle Vitello
Title
Receptionist
Phone
(716) 285-1133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X 157035 NY Primary

Addresses

Primary practice location

620 10TH St
Suite 710
Niagara Falls, NY 14301-1841

Mailing address

620 - 10TH Street
Suite 710
Niagara Falls, NY 14301-1841
Phone (716) 285-1133

Other identifiers 1

IdentifierTypeStateIssuer
00958970MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070102000086 NY Part B Supplier - Clinic/Group Practice 7113927955 Receives reassigned benefits from 3 practitioners
Practice locations: Niagara Falls, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1568525871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 - 10TH STREET",
            "address_2": "SUITE 710",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011841",
            "telephone_number": "716-285-1133",
            "fax_number": "716-285-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 10TH ST",
            "address_2": "SUITE 710",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011841",
            "telephone_number": "716-285-1133",
            "fax_number": "716-285-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA FALLS PHYSICIAN ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "VITELLO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "716-285-1133"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "157035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00958970",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.