EASTERN NIAGARA HOSPITAL, INC (NPI# 1063400539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063400539 |
| Entity Type | Organization |
| Organization Name | EASTERN NIAGARA HOSPITAL, INC |
| Practice Address |
521 East Ave Lockport NY 14094-3201 |
| Practice Telephone | 7165145501 |
| Practice Fax Number | 7165145549 |
| Mailing Telephone | 7165145501 |
| Mailing Fax Number | 7165145549 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2016-07-12 |
| Authorized Official Name | MR. MICHAEL FRANCIS ICKOWSKI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7165145501 |
| Authorized Official Credential | MBA, CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities | ||
| Y | 282N00000X | General Acute Care Hospital | 3101000H | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BCBS BILLING # | 000000030000 | 01 |
| NY | BCBS BILLING # | 000000031000 | 01 |
| NY | IHA BILLING # | 13 | 01 |
| NY | IHA BILLING # | 89 | 01 |
| NY | 00354389 | 05 | |
| NY | UNIVERA BILLING # | 00011412701 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EASTERN NIAGARA HOSPITAL, INC. | 521 E Ave, Lockport, NY 14094-3201 |
| New York State Corporations | EASTERN NIAGARA HOSPITAL, INC. | Eastern Niagara Hospital, Inc., 521 East Avenue, Lockport, Ny 14094 |
| Street Address |
521 EAST AVE |
| City | LOCKPORT |
| State | NY |
| Zip Code | 14094-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538152517 | Rudolph M Sada, Md | Nuclear Medicine | 521 East Ave, Lockport, NY 14094-3201 | 2005-08-25 |
| 1649896952 | Eastern Niagara Hospital | Spec/Tech, Pathology | 521 East Ave, Lockport, NY 14094-3201 | 2020-06-23 |
| 1972129666 | Kevin Beney | Technician, Pathology | 521 East Ave, Lockport, NY 14094-3201 | 2020-06-18 |
| 1003313263 | Farial Islam | Student in an Organized Health Care Education/Training Program | 521 East Ave, Lockport, NY 14094-3201 | 2018-04-12 |
| 1376049569 | Leslye Jones | Student in an Organized Health Care Education/Training Program | 521 East Ave, Lockport, NY 14094-3201 | 2018-04-05 |
| 1790286268 | Christopher Somsook | Student in an Organized Health Care Education/Training Program | 521 East Ave, Lockport, NY 14094-3201 | 2018-02-21 |
| 1861848392 | James Aaron Bolton | Family Medicine | 521 East Ave, Lockport, NY 14094-3201 | 2016-05-13 |
| 1154711331 | Alexandra Bogold | Physician Assistant | 521 East Ave, Lockport, NY 14094-3201 | 2015-01-27 |
| 1861744740 | Eastern Niagara Hospital Inc | Hospitalist | 521 East Ave, Lockport, NY 14094-3201 | 2012-10-03 |
| 1619299724 | Keystone Hospitalist Services of New York, PC | Hospitalist | 521 East Ave, Lockport, NY 14094-3201 | 2010-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093377723 | Sarah A Shaw Od Optometrist Pllc | Optometrist | 215 East Avenue, Lockport, NY 14094 | 2019-07-02 |
| 1780168732 | Woodbridge Nurse Practitioner In Psychiatry Pllc | Clinic/Center | 680 Davison Road, Lockport, NY 14094 | 2018-09-17 |
| 1124512249 | Leleya Tsygyrlash | Registered Nurse | 6332 Green Valley Lane, Lockport, NY 14094 | 2018-06-21 |
| 1699226811 | Jessica Monroe | Specialist | 51 High Street, Lockport, NY 14094 | 2016-10-24 |
| 1689127334 | Allison Cuzzacrea | Physician Assistant | 3644 Day Road, Lockport, NY 14094 | 2016-07-29 |
| 1386027878 | Michael T Trombitas | Chiropractor | 244 Bewley Building, Market Street, Lockport, NY 14094 | 2015-07-02 |
| 1407265226 | Mary Len I | Social Worker | 519 Bewley Building, Lockport, NY 14094 | 2014-08-06 |
| 1871904441 | Edtasha New | Registered Nurse | 120 South New York Street, Lockport, NY 14094 | 2014-05-16 |
| 1326469313 | Eastern Niagara Neurology PC | Psychiatry & Neurology | 170 Professional Parkway, Lockport, NY 14094 | 2013-12-18 |
| 1720348261 | Bianca Angelica Belli | Family Medicine | 5875 S. Transit Road, Lockport, NY 14094 | 2012-05-17 |
| Find all providers in zip 14094 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
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|---|---|---|---|---|
| 1922129410 | Sodexho | General Acute Care Hospital | 1312 East. North St, Lockport, IL 60441-2772 | 2007-04-02 |
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| 1225559149 | Zulfa Omer | General Acute Care Hospital | 234 E 149th St Ste 20-8, Bronx, NY 10451-5504 | 2017-06-30 |
| 1992230171 | Ny Presbyterian-queens | General Acute Care Hospital | 85-88 Parsons Blvd., Jamaica, NY 11432 | 2017-04-26 |
| 1760916324 | Nayab Chowhan | General Acute Care Hospital | 818 Friel Pl, Brooklyn, NY 11218-2609 | 2017-04-20 |
| 1629509146 | Luke Alessi | General Acute Care Hospital | 207 Bayville Ave, Bayville, NY 11709-1652 | 2017-03-26 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1255878492 | Winthrop University Hospital | General Acute Care Hospital | 212 Jericho Turnpike, Mineola, NY 11501 | 2017-01-26 |
| 1316480353 | Compassionate Companion Care, Pllc | General Acute Care Hospital | 204 Hendy Creek Rd, Pine City, NY 14871-9760 | 2016-11-23 |
| 1164964078 | Adrielle Ofosu | General Acute Care Hospital | 84 Kimball Ave, Yonkers, NY 10704-4222 | 2016-11-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.