John G Dyster, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

166794 Issued in NY

Practice address

4600 Military Rd Ste a
Niagara Falls, NY 14305-1338

Phone

(716) 298-4050

Fax

(716) 298-4098

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Niagara Falls Memorial Medical Center

  • General Acute Care Hospital
  • Niagara Falls, NY
  • NPI 1285717298
  Medicare reassignment NPD
• Niagara Falls Memorial Medical Center

  • Obstetrics & Gynecology Physician
  • Niagara Falls, NY
  • NPI 1982659256
  Medicare reassignment NPD
• Niagara Falls Memorial Medical Center

  • Oncology Clinic/Center
  • Niagara Falls, NY
  • NPI 1144842816
  NPD
• Niagara Hospitalist, PC

  • Hospitalist Physician
  • Williamsville, NY
  • NPI 1184664963
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1952309163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MILITARY RD STE A",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051338",
            "telephone_number": "716-298-4050",
            "fax_number": "716-298-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MILITARY RD STE A",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143051338",
            "telephone_number": "716-298-4050",
            "fax_number": "716-298-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSTER",
        "first_name": "JOHN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "166794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01023394",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Dunbar
• Mary Victoria Duncan, FNP-BC
• Aaron James Dunets, PHARMD
• Stephanie Dust
• Jenell Nicole Duxbury, PT, DPT
• Justine Eadie
• Heather Eagen, LPN
• Ear Nose & Throat Associate of Wny PC
• Jennifer Earsing, NP
• Elizabeth Antionette Eaton

• Family Medicine Physician in Niagara Falls, NY
• Providers in Niagara Falls, 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 Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.