EASTERN NIAGARA HOSPITAL (NPI# 1649896952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649896952 |
| Entity Type | Organization |
| Organization Name | EASTERN NIAGARA HOSPITAL |
| Practice Address |
521 East Ave Lockport NY 14094-3201 |
| Mailing Address |
6075 2nd St Newfane NY 14108-1202 |
| Practice Telephone | 7165145660 |
| Mailing Telephone | 7164257770 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | KEVIN BENEY (MEDICAL TECHNOLOGIST) |
| Authorized Official Telephone | 7165145660 |
| Authorized Official Credential | MT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EASTERN NIAGARA HOSPITAL, INC. | 521 E Ave, Lockport, NY 14094-3201 |
| 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 |
| 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 |
| 1801026406 | Rita Fattouch Saikali | Anesthesiology | 521 East Ave, Lockport, NY 14094 | 2009-07-17 |
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| 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 | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902267941 | Renald Valdemar | Spec/Tech, Pathology | 30 Linden Blvd, A4, Brooklyn, NY 11226-3178 | 2016-03-18 |
| 1114387479 | Freddy Holguin | Spec/Tech, Pathology | 780 Kimball Ave, Apt 1b, Yonkers, NY 10704-1569 | 2016-03-01 |
| 1790174803 | Adam Rivera | Spec/Tech, Pathology | 4 Sadore Ln Apt 2m, Yonkers, NY 10710-4743 | 2015-01-13 |
| 1801083019 | Ana Monica Mcgee | Spec/Tech, Pathology | 11 Dalewood Ln, Kings Park, NY 11754-2812 | 2007-10-02 |
| 1619190964 | Erlinda Salcedo Rizzo | Spec/Tech, Pathology | 33 Bowery Ste B205, New York, NY 10002-6745 | 2007-04-11 |
| 1093850802 | Paula Gibbs | Spec/Tech, Pathology | 85 Wabash Ave, Kenmore, NY 14217-2327 | 2007-02-20 |
| 1194217083 | Keisha Scarlett | Spec/Tech, Pathology | 423 E 23rd St, New York, NY 10010-5011 | 2018-06-05 |
| 1326584939 | Lucien Prince | Spec/Tech, Pathology | 550 W Merrick Rd, Suite 2, Valley Stream, NY 11580-5101 | 2017-01-06 |
| 1356701924 | Ciara Caitlyn King | Spec/Tech, Pathology | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2016-02-25 |
| 1992141543 | Anita Yun | Spec/Tech, Pathology | 622 W 168th St, New York, NY 10032-3720 | 2013-05-21 |
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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.