Premier Family Physicians, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PREMIER FAMILY PHYSICIANS, P.C.

Practice address

1150 Youngs Rd
Suite 203
Williamsville, NY 14221-8053

Phone

(716) 688-7344

Fax

(716) 688-7345

NPI assigned

Jan 17, 2008

Last updated

Dec 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nita K Divan, M.D.NPI 1386608339

Title

Owner

Phone

(716) 688-7344

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nita K. Divan, M.D., P.C. Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

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.

• Nita K Divan, MD

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1386608339
  Medicare reassignment Care Compare group Authorized official
• Kristen Elizabeth Gorski, PA-C

  • Physician Assistant
  • East Amherst, NY
  • NPI 1770936874
  Medicare reassignment Care Compare group
• Ashley Iten, ANP, MS, RN, BSN

  • Adult Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1770904195
  Medicare reassignment NPD
• Elizabeth Anne Vasquez, MSN FNP

  • Family Nurse Practitioner
  • Buffalo, NY
  • NPI 1245416387
  Medicare reassignment NPD
• Jennifer Meng, PA-C

  • Physician Assistant
  • Buffalo, NY
  • NPI 1174940803
  Medicare reassignment
• Maria T Cartagena, M.D.

  • Psychiatry Physician
  • Amherst, NY
  • NPI 1083617815
  NPD (past)
• Rebecca Suzanne Phillips, MD

  • Psychiatry Physician
  • Amherst, NY
  • NPI 1891738266
  NPD (past)

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261180800000",
    "number": "1730365073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1528",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142311528",
            "telephone_number": "716-688-7344",
            "fax_number": "716-688-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD",
            "address_2": "SUITE 203",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218053",
            "telephone_number": "716-688-7344",
            "fax_number": "716-688-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER FAMILY PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2009-12-19",
        "status": "A",
        "authorized_official_last_name": "DIVAN",
        "authorized_official_first_name": "NITA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-688-7344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01657107",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nita K. Divan, M.D., P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Latosha Preston, LPN
• Miranda Price

• Family Medicine Physician in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2009; 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.