Organization Active NPI

716 Health Medical, PLLC

  • Internal Medicine Physician
  • North Tonawanda, NY
National Provider Identifier
1679293377
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
716 HEALTH MEDICAL, PLLC
Practice address
273 Division St Ste 1
North Tonawanda, NY 14120-4631
Phone
(716) 725-9000
NPI assigned
Sep 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Nathalie Bousader-ArmstrongNPI 1023066388
Title
Owner, Medical Director
Phone
(716) 725-9000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

273 Division St Ste 1
North Tonawanda, NY 14120-4631

Mailing address

273 Division St
North Tonawanda, NY 14120-4631
Phone (716) 725-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230208001788 NY Part B Supplier - Clinic/Group Practice 8325410954 Receives reassigned benefits from 3 practitioners
Practice locations: North Tonawanda, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2270284716 Health & Medical, PLLC273 Division Street, North Tonawanda, NY 14120Certificate of waiverOct 11, 2026

National Provider Directory

National Provider Directory

Locations

273 Division St
#1
North Tonawanda, NY 14120
Phone (716) 725-9000

273 Division St
North Tonawanda, NY 14120
Phone (716) 693-3344

4545 Transit Rd
Ste 500
Williamsville, NY 14221
Phone (716) 725-9000

Practitioners & affiliated clinicians

Practitioners 4

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": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1679293377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 DIVISION ST",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204631",
            "telephone_number": "716-725-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 DIVISION ST STE 1",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204631",
            "telephone_number": "716-725-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "716 HEALTH MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "BOUSADER-ARMSTRONG",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_title_or_position": "OWNER, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "716-725-9000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.