Organization Active NPI

Signature OB/GYN LLP

  • Obstetrics & Gynecology Physician
  • Williamsville, NY
National Provider Identifier
1609860071
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SIGNATURE OB/GYN LLP
Practice address
30 N Union Rd
Williamsville, NY 14221-5367
Phone
(716) 633-6363
Fax
(716) 633-4419
NPI assigned
Aug 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Magdi Edmand Sayegh, MDNPI 1013901412
Title
Partner
Phone
(716) 633-6363

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

30 N Union Rd
Williamsville, NY 14221-5367

Mailing address

30 N Union Rd
Williamsville, NY 14221-5367
Phone (716) 633-6363

Other names 1

  • CHOUCHANI,SAYEGH&ROBINSON Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070724000707 NY Part B Supplier - Clinic/Group Practice 4587765227 Receives reassigned benefits from 6 practitioners
Practice locations: Kenmore, NY; Williamsville, NY

National Provider Directory

National Provider Directory

Locations

6440 Transit Rd
Depew, NY 14043
Phone (716) 684-5454

30 N Union Rd
Williamsville, NY 14221
Phone (716) 633-6363

Practitioners & affiliated clinicians

Practitioners 6

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": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1609860071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N UNION RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215367",
            "telephone_number": "716-633-6363",
            "fax_number": "716-633-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N UNION RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215367",
            "telephone_number": "716-633-6363",
            "fax_number": "716-633-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE OB/GYN LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "SAYEGH",
        "authorized_official_first_name": "MAGDI",
        "authorized_official_middle_name": "EDMAND",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "716-633-6363",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOUCHANI,SAYEGH&ROBINSON",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; 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.