Organization Active NPI

Som Medical Practice PLLC

Doing business as Niagara Falls Urgent Care

  • Family Medicine Physician
  • Niagara Falls, NY
National Provider Identifier
1720598501
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOM MEDICAL PRACTICE PLLC
Doing business as
Niagara Falls Urgent Care
Practice address
3117 Military Rd Ste 1
Niagara Falls, NY 14304-4813
Phone
(716) 257-1254
NPI assigned
Oct 5, 2017
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Santanu Som, D.O.NPI 1568678316
Title
Physician/President
Phone
(516) 661-5621

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Urgent Care Clinic/Center 261QU0200X 242962 NY
Family Medicine Physician 207Q00000X Primary
Pediatrics Physician 208000000X

Addresses

Primary practice location

3117 Military Rd Ste 1
Niagara Falls, NY 14304-4813

Mailing address

7332 Rochester Rd
Lockport, NY 14094-1628
Phone (516) 661-5621

Other practice location 1

901 Wayne St
Olean, NY 14760-2255
Phone (716) 257-1254

Other practice location 2

5893 Camp Rd Ste 3
Hamburg, NY 14075-4470
Phone (716) 257-1254

Other names 1

  • Niagara Falls Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181119002458 NY Part B Supplier - Clinic/Group Practice 2769736297 Receives reassigned benefits from 16 practitioners
Practice locations: Hamburg, NY; Lockport, NY; Niagara Falls, NY; Olean, NY; Warsaw, NY; Williamsville, NY; Depew, 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
33D2295658Som Medical Practice PLLC901 Wayne St, Olean, NY 14760Certificate of waiverMar 26, 2027
33D2322962Som Medical Practice PLLC5893 Camp Road, Hamburg, NY 14075Certificate of waiverApr 29, 2027
33D2335384Som Medical Practice PLLC3117 Military Road Suite 2, Niagara Falls, NY 14304RegistrationDec 9, 2027

National Provider Directory

National Provider Directory

Locations

5893 Camp Rd
Ste 306
Hamburg, NY 14075
Phone (716) 257-1254

251 East Ave
Lockport, NY 14094
Phone (716) 257-1248

901 Wayne St
Olean, NY 14760
Phone (716) 257-1254

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1720598501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7332 ROCHESTER RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140941628",
            "telephone_number": "516-661-5621",
            "fax_number": "855-409-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 MILITARY RD STE 1",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143044813",
            "telephone_number": "716-257-1254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Wayne St",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147602255",
            "country_code": "US",
            "telephone_number": "716-257-1254",
            "fax_number": "716-215-6170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5893 Camp Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140754470",
            "country_code": "US",
            "telephone_number": "716-257-1254",
            "fax_number": "716-215-6170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOM MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-05",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "SOM",
        "authorized_official_first_name": "SANTANU",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "516-661-5621",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "242962",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Niagara Falls Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Niagara Falls Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.