Niagara ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NIAGARA ASC, LLC

Doing business as

ASC of Niagara
Ambulatory Surgery Center of Niagara

Practice address

6500 Porter Rd
Suite 2030
Niagara Falls, NY 14304-1529

Phone

(716) 285-2020

Fax

(716) 285-2060

NPI assigned

Jun 29, 2015

Last updated

Jun 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Fullone, BS, RN,

Title

Administrator

Phone

(585) 233-0722

Specialties & licenses 1

Addresses

Other names 2

• ASC of Niagara Doing business as
• Ambulatory Surgery Center of Niagara Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Ambulatory Surgery Center of NiagaraCCN 33C0001160

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Thomas Robert Elmer VI, MD

  • Specialist
  • Amherst, NY
  • NPI 1255335907
  NPD (past)

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1588046361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 PORTER RD",
            "address_2": "SUITE 2030",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041529",
            "telephone_number": "716-285-2020",
            "fax_number": "716-285-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 PORTER RD",
            "address_2": "SUITE 2030",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041529",
            "telephone_number": "716-285-2020",
            "fax_number": "716-285-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "FULLONE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "585-233-0722",
        "authorized_official_credential": "BS, RN,"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASC of Niagara",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ASC of Niagara",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ambulatory Surgery Center of Niagara",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John C Newman, MD
• Nfmmc Professional Services
• Nik G NG, MD
• Niagara Apothecary Inc.
• Niagara Apothecary Inc.
• Niagara Chauffeur
• Niagara County Department of Health
• Niagara County Department of Health
• Niagara County Healht Department
• Niagara County Health Department

• Ambulatory Surgical Clinic/Center in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.