General Physician, PC
Organization Active NPI Clinic/Center · Cuba, NY
NPI 1700528213 · NPPES record last updated Jun 5, 2026
Key facts
- NPI
- 1700528213
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- GENERAL PHYSICIAN, PC
- Practice address
- 45 W Main St
Cuba, NY 14727-1403 - Phone
- (585) 968-1628
- NPI assigned
- Apr 13, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- KALEIDA HEALTH
Authorized official
- Name
- Tabitha Abraham
- Title
- Director
- Phone
- (716) 533-4728
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 2
Practitioners 17
-
Katie L. Bailey, NP
-
Thomas Bevilacqua, M.D.
-
Harris Chengazi, M.D.
-
Mattison Gorrell, PA
-
Rajan Gulati, MD
-
Karrie Anne Kuhn, CNM
-
Salwat Malik, M.D.
-
Ranjan Ragulojan, MD
-
David S Shulman, M.D.
-
Courtney Louise Snow, PA-C
-
Mudassir Syed, DO
-
Harry Brown, MD
-
John E Connolly, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220603000542 | NY | Part B Supplier - Clinic/Group Practice | 0042698045 |
Receives reassigned benefits from 91 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cuba, NY; Ellicottville, NY; Franklinville, NY; Olean, NY; Salamanca, NY |
National Provider Directory
- Tax ID family
- Morris Cavalieri MD
- Part of
- Mary George
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
45 W Main St
Cuba, NY 14727-1403
Mailing address
535 Main St
Olean, NY 14760-1500
Phone (716) 372-0141
Other names
- Olean Medical Group
NPI Registry JSON
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780617600000",
"number": "1700528213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 MAIN ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601500",
"telephone_number": "716-372-0141",
"fax_number": "585-625-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 W MAIN ST",
"city": "CUBA",
"state": "NY",
"postal_code": "147271403",
"telephone_number": "585-968-1628"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERAL PHYSICIAN, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KALEIDA HEALTH",
"enumeration_date": "2022-04-13",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A",
"authorized_official_last_name": "ABRAHAM",
"authorized_official_first_name": "TABITHA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "716-533-4728"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Olean Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cuba, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.