Organization Active NPI

Nicholas Tiberia DPM

  • Durable Medical Equipment & Medical Supplies
  • West Seneca, NY
National Provider Identifier
1932385457
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N003294-1 Issued in NY
Legal business name
NICHOLAS TIBERIA DPM
Practice address
100 Union Rd
West Seneca, NY 14224-4656
Phone
(716) 674-0375
NPI assigned
Jan 15, 2008
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Nicholas TiberiaNPI 1649260118
Title
DPM
Phone
(716) 674-0375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X N003294-1 NY Primary

Addresses

Primary practice location

100 Union Rd
West Seneca, NY 14224-4656

Mailing address

100 Union Rd
West Seneca, NY 14224-4656
Phone (716) 674-0375

Other identifiers 1

IdentifierTypeStateIssuer
00742838MedicaidNY

National Provider Directory

National Provider Directory

Locations

100 Union Rd
West Seneca, NY 14224
Phone (716) 675-4444

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": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1932385457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244656",
            "telephone_number": "716-674-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UNION RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244656",
            "telephone_number": "716-674-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS TIBERIA DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "TIBERIA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "716-674-0375"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N003294-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00742838",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.