Organization Active NPI

Aurora Family Health Care

  • Family Medicine Physician
  • East Aurora, NY
National Provider Identifier
1962678680
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
184251 Issued in NY
Legal business name
AURORA FAMILY HEALTH CARE
Practice address
530 Main St
East Aurora, NY 14052-1717
Phone
(716) 652-5499
Fax
(716) 652-3863
NPI assigned
May 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Mr. Brian E Zittel
Title
Administrator
Phone
(716) 652-5499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 184251 NY Primary

Addresses

Primary practice location

530 Main St
East Aurora, NY 14052-1717

Mailing address

530 Main St
East Aurora, NY 14052-1717
Phone (716) 652-5499

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111202000368 NY Part B Supplier - Clinic/Group Practice 2365617396 Receives reassigned benefits from 1 practitioner
Practice locations: East Aurora, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0925213Aurora Family Health Care530 Main St, East Aurora, NY 14052Certificate of waiverFeb 19, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1962678680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521717",
            "telephone_number": "716-652-5499",
            "fax_number": "716-652-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521717",
            "telephone_number": "716-652-5499",
            "fax_number": "716-652-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA FAMILY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "ZITTEL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-652-5499",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "184251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.