Active NPI
United Memorial Medical Center
- General Acute Care Hospital
- Batavia, NY
National Provider Identifier
1902800352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- UNITED MEMORIAL MEDICAL CENTER
- Practice address
- 127 North St
Batavia, NY 14020-1631 - Phone
- (585) 344-5428
- Fax
- (585) 344-7470
- NPI assigned
- Jun 13, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Howard Damian Glastonbury
- Title
- Cfo
- Phone
- (585) 922-1595
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | |||
| General Acute Care Hospital | 282N00000X | NY | Primary |
Addresses
Primary practice location
127 North St
Batavia, NY 14020-1631
Mailing address
127 North St
Batavia, NY 14020-1631
Phone (585) 344-5428
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00354283 | Medicaid | NY | |
| 016 | Other | NY | COMMUNITY BLUE |
| 4V | Other | NY | INDEPENDE HEALTH |
| P014001947 | Other | NY | PREMIER HEALTH |
| 016 | Other | NY | BLUE CROSS WNY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040507000847 | NY | Part B Supplier - Clinic/Group Practice | 0547259376 |
Receives reassigned benefits from 888 practitioners 2 other NPIs on this enrollment Practice locations: Manhasset, NY; West Point, NY; Syracuse, NY; Perry, NY; New York, NY; Medina, NY; Le Roy, NY; Jericho, NY… |
| O20101227000369 | NY | Part A Provider - Hospital | 0547259376 |
2 other NPIs on this enrollment Practice locations: Corfu, NY; Medina, NY; Le Roy, NY; Bergen, NY; Batavia, NY |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Hospital certification: CCN 330073
- Legal name
- UNITED MEMORIAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 7, 2024
- Beds
- 166
- Ownership / control type
- Private (not for profit)
- Organization structure
- Other
- Incorporated
- Jan 1, 2000 in NY
- Enrollment address
- 16 Bank St
Batavia, NY 14020-2250 - Hospital subgroups
- Acute care
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Hematology & Oncology Physician
- Batavia, NY
- NPI 1508260704
O20040507000847, O20101227000369
-
- Family Medicine Physician
- Batavia, NY
- NPI 1669747085
O20040507000847, O20101227000369
National Provider Directory
National Provider DirectoryLocations
127 North St
#2
Batavia, NY 14020
Phone (585) 344-5252
99 Med Tech Dr
Batavia, NY 14020
Phone (585) 201-7080
Ownership & related parties
All disclosed owners & managing parties 17
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Marcie Salerno | W-2 Managing Employee | Apr 26, 2021 | |
| James Sunser | Corporate Director | Jul 1, 2019 | |
| Nichole S Holder | W-2 Managing Employee | Jul 1, 2020 | |
| Richard O Davis | Corporate Officer | Mar 1, 2022 | |
| Peter Zeliff | Corporate Director | Jul 1, 2019 | |
| Peter Thomas Janes | Corporate Officer | Jan 1, 2019 | |
| Tracy Ford | Corporate Director | Sep 1, 2023 | |
| Betty Lapp | Corporate Director | Jul 1, 2011 | |
| Howard Glastonbury | Corporate Officer | Jul 1, 2019 | |
| Richard Henry | Corporate Director | Sep 1, 2023 | |
| Thomas E Houseknecht | Corporate Director | Jul 1, 2011 | |
| Augusta Welsh | Corporate Director | Jul 1, 2011 | |
| Joseph Miles | W-2 Managing Employee | Sep 1, 2023 | |
| Mark C Schoell | Corporate Director | Sep 27, 2004 | |
| Susie Ott | Corporate Director | Jul 1, 2019 | |
| Daniel Ireland | Corporate Director | Jan 1, 2019 | 100% |
| Thomas R Crilly | Corporate Director | Jan 1, 2019 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners 941
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Affiliated clinicians 389
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Hospital
Medicare Care Compare- Listed as
- United Memorial Medical Center
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0168694 | United Memorial Medical Center Hope | Certificate of waiver | Mar 26, 2027 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1902800352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 NORTH ST",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201631",
"telephone_number": "585-344-5428",
"fax_number": "585-344-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 NORTH ST",
"city": "BATAVIA",
"state": "NY",
"postal_code": "140201631",
"telephone_number": "585-344-5428",
"fax_number": "585-344-7470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED MEMORIAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-13",
"last_updated": "2022-07-21",
"certification_date": "2022-05-23",
"status": "A",
"authorized_official_last_name": "GLASTONBURY",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "DAMIAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "585-922-1595"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00354283",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY BLUE",
"identifier": "016",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDE HEALTH",
"identifier": "4V",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMIER HEALTH",
"identifier": "P014001947",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS WNY",
"identifier": "016",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.