Niagara Nephrology, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

190795-1 Issued in NY

Legal business name

NIAGARA NEPHROLOGY, PC

Practice address

2900 Military Rd
Niagara Falls, NY 14304-1252

Phone

(716) 298-1868

Fax

(716) 205-0836

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sujatha Addagatla, M.D.NPI 1720168198

Title

President

Phone

(716) 298-1868

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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

• Sujatha Addagatla, M.D.

  • Nephrology Physician
  • Niagara Falls, NY
  • NPI 1720168198

  Nephrology, NY

  Medicare reassignment NPD Authorized official
• Edwin J Anand, M,D.

  • Nephrology Physician
  • Niagara Falls, NY
  • NPI 1316117617

  Nephrology

  NPD (past)
• Dawn M Pisarski, ANP

  • Adult Health Nurse Practitioner
  • Lockport, NY
  • NPI 1457423873
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1720116643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041252",
            "telephone_number": "716-298-1868",
            "fax_number": "716-205-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 MILITARY RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143041252",
            "telephone_number": "716-298-1868",
            "fax_number": "716-205-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA NEPHROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "ADDAGATLA",
        "authorized_official_first_name": "SUJATHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-298-1868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "190795-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Niagara Falls, NY
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.