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DR. JACK G BERTOLINO MD
NPI 1043271752
Family Medicine in Lewiston, NY

Active since March 31, 2006
5320 MILITARY RD, SUITE #104, LEWISTON, NY 14092(716) 297-1153(716) 297-5458 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack G Bertolino Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK G BERTOLINO MD (NPI 1043271752) is an individual family medicine provider in Lewiston, New York, licensed in New York (180670) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1043271752
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACK G BERTOLINOCredential: MD
Location Address5320 MILITARY RD, SUITE #104Lewiston, NY 14092-2149
Mailing Address5320 Military Rd, Suite #104Lewiston, NY 14092-2149 · (716) 297-1153 · Fax (716) 297-5458
Phone(716) 297-1153
Fax(716) 297-5458
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043271752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 180670
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5320 MILITARY RD, Lewiston, NY 14092
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Other Identifiers 2

Medicare UPINE45144NY
Medicare ID-Type Unspecified11357ANY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BALJINDER SINGH
Psychiatry & Neurology (Neurology)
5320 MILITARY RD, SUITE 101
LEWISTON, NY 14092
Niagara County (716) 575-0075
NICHOLAS F ZORNEK PC
Obstetrics & Gynecology
5320 MILITARY RD, SUITE 103
LEWISTON, NY 14092
Niagara County (716) 297-5990
GIULIANO RICCARDO PUPO PA-C
Physician Assistant
5320 MILITARY RD
LEWISTON, NY 14092
Niagara County (716) 297-1701
PHILIP SAUVAGEAU
Internal Medicine
5320 MILITARY RD
LEWISTON, NY 14092
Niagara County (716) 297-7543
ZINA D. HAJDUCZOK, M.D.P.C.
Internal Medicine (Cardiovascular Disease)
5320 MILITARY RD, SUITE 105
LEWISTON, NY 14092
Niagara County (716) 297-1686
MRS. SANDRA SAUVAGEAU N.P.
Nurse Practitioner
5320 MILITARY RD, 101
LEWISTON, NY 14092
Niagara County (716) 297-7542
ALFRED JAMES BAX MD
Surgery
5320 MILITARY RD, STE 101
LEWISTON, NY 14092
Niagara County (716) 297-8149
WOMEN'S MEDICINE OF NIAGARA, PLLC
Obstetrics & Gynecology
5320 MILITARY RD, STE 103/104
LEWISTON, NY 14092
Niagara County (716) 297-9379

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Bertolino's NPI number?

The NPI number for Jack Bertolino is 1043271752. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Jack Bertolino located?

Jack Bertolino practices at 5320 Military Rd Suite #104, Lewiston, NY 14092. The listed phone number is (716) 297-1153.

What is Jack Bertolino's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jack Bertolino was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.