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CUMMINS HEALTH CENTER-JAMESTOWN
NPI 1093991598
Clinic/Center - Primary Care in Lakewood, NY

Active since January 14, 2008CLIA 33D1031649 · Waiver
4720 BAKER STREET EXT, LAKEWOOD, NY 14750(716) 456-2334(716) 456-2628 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2022, Jul 29, 2020 (2 updates tracked since 2020).

About Cummins Health Center-jamestown NPPES

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

CUMMINS HEALTH CENTER-JAMESTOWN (NPI 1093991598) is a healthcare organization registered as a primary care in Lakewood, New York and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1093991598
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMISE HEALTH OF NEW YORK MEDICAL, P.C
Location Address4720 BAKER STREET EXTLakewood, NY 14750-9772
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(716) 456-2334
Fax(716) 456-2628
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateJanuary 14, 2008
Last NPPES UpdateAugust 15, 20222 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1093991598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4720 BAKER STREET EXT, Lakewood, NY 14750
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Other Names 1

Doing Business AsCummins Health Center-jamestown

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 33D1031649

Cummins Health Center - Jamestown · Lakewood, NY
Active · expires Mar 26, 2027
CLIA Number33D1031649
Laboratory TypeIndustrial
Certificate Effective DateOctober 6, 2004
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Grant W. Stephenson
Laboratory Phone(716) 456-2149
Laboratory LocationCummins Health Center - Jamestown4720 Baker Street Ext Jamestown Eng Pl, Lakewood, NY 14750
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Premise Health Of New York Medical, P.C's NPI number?

The NPI number for Premise Health Of New York Medical, P.C is 1093991598. It was assigned to this organization in the NPPES registry on January 14, 2008. The provider is doing business as Cummins Health Center-Jamestown.

Where is Premise Health Of New York Medical, P.C located?

Premise Health Of New York Medical, P.C is located at 4720 Baker Street Ext, Lakewood, NY 14750. The listed phone number is (716) 456-2334.

What is Premise Health Of New York Medical, P.C's specialty?

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

Does Premise Health Of New York Medical, P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1031649) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of New York Medical, P.C was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.