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GENERAL PHYSICIAN, PC
NPI 1063236529
Internal Medicine in Orchard Park, NY

Active since November 12, 2024CLIA Certified · 4 labs
5959 BIG TREE RD STE 102, ORCHARD PARK, NY 14127(716) 422-5677 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About General Physician, Pc NPPES

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

GENERAL PHYSICIAN, PC (NPI 1063236529) is a healthcare organization registered as an internal medicine in Orchard Park, New York and active in the NPI registry since November 2024. The organization holds 4 active CLIA laboratory certificates and lists Michael Mineo, Director, as its authorized official.

NPPES Registry Identity

NPI1063236529
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGENERAL PHYSICIAN, PC
Location Address5959 BIG TREE RD STE 102Orchard Park, NY 14127-2291
Mailing Address726 Exchange St Ste 710Buffalo, NY 14210-1464 · (716) 852-4772
Phone(716) 422-5677
Organization SubpartNo
Authorized OfficialMichael MineoDirector · (716) 859-8831
Enumeration DateNovember 12, 2024
NPPES CertifiedNovember 12, 2024
✔ NPI 1063236529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5959 BIG TREE RD STE 102, Orchard Park, NY 14127
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2247219

General Physicians PC · Orchard Park, NY
Active · expires Jan 4, 2028
CLIA Number33D2247219
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorDr. Richard T. Charles
Laboratory Phone(716) 248-1420
Laboratory LocationGeneral Physicians PC5959 Big Tree Rd Suite 102A, Orchard Park, NY 14127
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 33D2310016

General Physician PC Cancer Care · Buffalo, NY
Active · expires Sep 9, 2027
CLIA Number33D2310016
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorDr. Farid Berenji
Laboratory Phone(716) 422-0010
Laboratory LocationGeneral Physician PC Cancer Care100 High St Suite D1, Buffalo, NY 14203
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D2329903

General Physician PC · Orchard Park, NY
Active · expires Sep 7, 2027
CLIA Number33D2329903
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorDr. Gil M. Farkash
Laboratory Phone(716) 656-4077
Laboratory LocationGeneral Physician PC5959 Big Tree Suite 103, Orchard Park, NY 14127
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 33D0169432

General Physician PC · Orchard Park, NY
Active · expires Aug 12, 2026
CLIA Number33D0169432
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorDr. Richard E. Charles
Laboratory Phone(716) 972-0279
Laboratory LocationGeneral Physician PC3045 Southwestern Blvd Suite 108, Orchard Park, NY 14127
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 33D2132145

General Physician PC Cancer Care · Buffalo, NY
Expired · Jul 31, 2026
CLIA Number33D2132145
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Farid Berenji
Laboratory Phone(716) 422-5422
Laboratory LocationGeneral Physician PC Cancer Care45 Spindrift Drive, Suite 100, Buffalo, NY 14221
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 12

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

ANDREW KOROSCHETZ
Physician Assistant
5959 BIG TREE RD STE 102
ORCHARD PARK, NY 14127
Erie County (716) 422-5677
RYANE SCHUPP FNP
Nurse Practitioner (Family)
5959 BIG TREE RD STE 102
ORCHARD PARK, NY 14127
Erie County (716) 708-8804
BECKER T STEINEMANN
Family Medicine
5959 BIG TREE RD STE 102
ORCHARD PARK, NY 14127
Erie County (716) 422-5677
WENXIN LIU MD
Internal Medicine (Cardiovascular Disease)
5959 BIG TREE RD STE 102
ORCHARD PARK, NY 14127
Erie County (716) 710-8266
ANTHONY FOX
Physician Assistant
5959 BIG TREE RD STE 102
ORCHARD PARK, NY 14127
Erie County (716) 422-5677
JOHN J SLISZ PA
Physician Assistant (Medical)
5959 BIG TREE RD STE 102
ORCHARD PARK, NY 14127
Erie County (716) 308-9640
DR. ALEXANDER CARLSON DO
Internal Medicine
5959 BIG TREE RD STE 102
ORCHARD PARK, NY 14127
Erie County (716) 422-5677
STEPHANIE ROBERTS FNP
Nurse Practitioner (Family)
5959 BIG TREE RD STE 102
ORCHARD PARK, NY 14127
Erie County (716) 422-5677

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 General Physician, PC's NPI number?

The NPI number for General Physician, PC is 1063236529. It was assigned to this organization in the NPPES registry on November 12, 2024.

Where is General Physician, PC located?

General Physician, PC is located at 5959 Big Tree Rd Ste 102, Orchard Park, NY 14127. The listed phone number is (716) 422-5677.

What is General Physician, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does General Physician, PC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for General Physician, PC was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.