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EASTERN NIAGARA MEDICAL GROUP
NPI 1346796398
Family Medicine in Lockport, NY

Active since August 30, 2016
53 ELIZABETH DR, LOCKPORT, NY 14094(716) 514-5501(716) 514-5549 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eastern Niagara Medical Group NPPES

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

EASTERN NIAGARA MEDICAL GROUP (NPI 1346796398) is a healthcare organization registered as a family medicine in Lockport, New York and active in the NPI registry since August 2016. The organization lists Michael Francis Ickowski, Cfo, as its authorized official.

NPPES Registry Identity

NPI1346796398
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEASTERN NIAGARA MEDICAL GROUP
Location Address53 ELIZABETH DRLockport, NY 14094-5226
Mailing Address521 East AveLockport, NY 14094-3201 · (716) 514-5501 · Fax (716) 514-5549
Phone(716) 514-5501
Fax(716) 514-5549
Organization SubpartYesParent: Eastern Niagara Hospital, Inc
Authorized OfficialMichael Francis IckowskiCfo · (716) 514-5501
Enumeration DateAugust 30, 2016
Last NPPES UpdateSeptember 1, 2016
✔ NPI 1346796398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 3101000H
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 3101000H (NY)
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 3101000H (NY)
53 ELIZABETH DR, Lockport, NY 14094
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Other Identifiers 3

Medicare OSCAR/certification330163NY
Medicaid00354389NY
Other3101000HNY · License Number - Operating Certificate

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

Other Providers at the Same Location NPPES 3

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

LOCKPORT MEMORIAL HOSPITAL
Specialist
53 ELIZABETH DR
LOCKPORT, NY 14094
Niagara County (716) 434-6093
PRASHANT PENDYALA MD
Internal Medicine (Nephrology)
53 ELIZABETH DR
LOCKPORT, NY 14094
Niagara County (716) 650-0373
DR. CHANDRASHAKER R GONA MD
Urology
53 ELIZABETH DR
LOCKPORT, NY 14094
Niagara County (716) 434-6093

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 Eastern Niagara Medical Group's NPI number?

The NPI number for Eastern Niagara Medical Group is 1346796398. It was assigned to this organization in the NPPES registry on August 30, 2016.

Where is Eastern Niagara Medical Group located?

Eastern Niagara Medical Group is located at 53 Elizabeth Dr, Lockport, NY 14094. The listed phone number is (716) 514-5501.

What is Eastern Niagara Medical Group'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 Eastern Niagara Medical Group was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.