ACACIA FAMILY HEALTH NP PLLC (NPI# 1124328307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124328307 |
| Entity Type | Organization |
| Organization Name | ACACIA FAMILY HEALTH NP PLLC |
| Practice Address |
702 Davison Rd Lockport NY 14094-5371 |
| Practice Telephone | 7165149355 |
| Mailing Telephone | 7165149355 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2013-01-23 |
| Authorized Official Name | MICHAEL J OSTOLSKI (PRESIDENT) |
| Authorized Official Telephone | 7165149355 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F3316771 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 0331797 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ACACIA FAMILY HEALTH NP PLLC | 15 Elizabeth Drive, Lockport, Ny 14094 |
| Street Address |
702 DAVISON RD |
| City | LOCKPORT |
| State | NY |
| Zip Code | 14094-5371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851355747 | Michael J Ostolski | Nurse Practitioner | 702 Davison Rd, Lockport, NY 14094-5371 | 2006-04-17 |
| 1801213434 | Francesco Antonio Scarpelli | Nurse Practitioner | 702 Davison Rd, Lockport, NY 14094-5371 | 2014-03-20 |
| 1265517239 | Marietta Schrader | Nurse Practitioner | 702 Davison Rd, Lockport, NY 14094-5371 | 2006-10-26 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468040 | Jane K James | Nurse Practitioner | 4675 Sunset Dr, Lockport, NY 14094-1231 | 2019-10-11 |
| 1861979098 | Brittany Nicole Sisson | Nurse Practitioner | 139 Professional Pkwy, Lockport, NY 14094-5369 | 2018-07-20 |
| 1639699192 | Chelsea L Mckenna | Nurse Practitioner | 139 Professional Pkwy, Lockport, NY 14094-5369 | 2017-06-26 |
| 1114381191 | Chijioke Jimonu | Nurse Practitioner | 16626 W 159th St, Suite 700, Lockport, IL 60441-8018 | 2016-04-06 |
| 1669866125 | Kaitlyn A Wojewoda | Nurse Practitioner | 139 Professional Pkwy, Lockport, NY 14094-5369 | 2015-03-23 |
| 1407264229 | Erika Brooke Waver | Nurse Practitioner | 139 Professional Pkwy, Lockport, NY 14094-5369 | 2014-07-24 |
| 1376834085 | Elisabeth Allen | Nurse Practitioner | 5879 Snyder Dr, Lockport, NY 14094-9497 | 2011-04-28 |
| 1669771861 | Gregory Alan Nichols | Nurse Practitioner | 16547 W 159th St, Lockport, IL 60441-7900 | 2011-03-28 |
| 1871823690 | Julia C Koklys | Nurse Practitioner | 16750 W 159th St, Lockport, IL 60441-7968 | 2009-12-29 |
| 1528117884 | Claire A Andrews | Nurse Practitioner | 5875 S Transit Rd, Lockport, NY 14094-6340 | 2007-01-09 |
| Find all providers in LOCKPORT | ||||
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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.