COMMUNITY PEDIATRICS OF WNY, PLLC
NPI 1073113346
Clinic/Center - Primary Care in Lockport, NY

Active since October 27, 2020CLIA 33D0676654 · Waiver
741 DAVISON RD, LOCKPORT, NY 14094(716) 433-6666(716) 524-6736 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Pediatrics Of Wny, Pllc NPPES

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

COMMUNITY PEDIATRICS OF WNY, PLLC (NPI 1073113346) is a healthcare organization registered as a primary care in Lockport, New York and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through October 17, 2026, maintains a secondary practice location in Lockport, and lists Lubna Syed Guru, Md, as its authorized official.

NPPES Registry Identity

NPI1073113346
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCOMMUNITY PEDIATRICS OF WNY, PLLC
Location Address741 DAVISON RDLockport, NY 14094-5214
Mailing Address741 Davison RdLockport, NY 14094-5214 · (716) 433-6666 · Fax (716) 524-6736
Fax(716) 524-6736
Organization SubpartNo
Authorized OfficialLubna Syed GuruMd · (716) 433-6666
Enumeration DateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
NPI 1073113346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
741 DAVISON RD, Lockport, NY 14094

Secondary Practice Location 1

Location 1741 Davison RdLockport, NY 14094-5214 · Phone (716) 433-6666 · Fax (716) 524-6736

CLIA Laboratory Certificates CMS CLIA

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 33D0676654

Community Pediatrics Of Wny, PLLC · Lockport, NY
Active · expires Oct 17, 2026
CLIA Number33D0676654
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorDr. Lubna S. Guru
Laboratory Phone(716) 433-6666
Laboratory LocationCommunity Pediatrics Of Wny, PLLC741 Davison Rd, Lockport, NY 14094
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Chiropractor
741 DAVISON RD
LOCKPORT, NY 14094
Chiropractor
741 DAVISON RD
LOCKPORT, NY 14094

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 Community Pediatrics Of Wny, PLLC's NPI number?

The NPI number for Community Pediatrics Of Wny, PLLC is 1073113346. It was assigned to this organization in the NPPES registry on October 27, 2020.

Where is Community Pediatrics Of Wny, PLLC located?

Community Pediatrics Of Wny, PLLC is located at 741 Davison Rd, Lockport, NY 14094. The listed phone number is (716) 433-6666.

What is Community Pediatrics Of Wny, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Community Pediatrics Of Wny, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0676654) is associated with this NPI, valid through October 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Pediatrics Of Wny, PLLC was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.