Organization Active NPI

Suwarna Naik Physician PLLC

  • Internal Medicine Physician
  • Batavia, NY
National Provider Identifier
1821283656
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1690021 Issued in NY
Legal business name
SUWARNA NAIK PHYSICIAN PLLC
Practice address
4156 W Main Street Rd
Batavia, NY 14020-1291
Phone
(585) 344-0870
Fax
(585) 345-1420
NPI assigned
Sep 14, 2007
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Rebecca Nicometi
Title
Financial Officer
Phone
(585) 344-0870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1690021 NY Primary

Addresses

Primary practice location

4156 W Main Street Rd
Batavia, NY 14020-1291

Mailing address

4156 W Main Street Rd
Batavia, NY 14020-1291
Phone (585) 344-0870

Other identifiers 1

IdentifierTypeStateIssuer
00996727MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080116000098 NY Part B Supplier - Clinic/Group Practice 6608957683 Receives reassigned benefits from 1 practitioner
Practice locations: Batavia, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1821283656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4156 W MAIN STREET RD",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201291",
            "telephone_number": "585-344-0870",
            "fax_number": "585-345-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4156 W MAIN STREET RD",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201291",
            "telephone_number": "585-344-0870",
            "fax_number": "585-345-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUWARNA NAIK PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "NICOMETI",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "585-344-0870"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1690021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00996727",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.