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NIAGARA DERMATOLOGY ASSOCIATES LLC
NPI 1649610858
Dermatology in Lewiston, NY

Active since July 02, 2013
5320 MILITARY RD, STE 104, LEWISTON, NY 14092(716) 205-8324(716) 205-8593 Get Directions Write a Review

NPPES record last updated: January 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2022, Dec 31, 2021 (2 updates tracked since 2021).

About Niagara Dermatology Associates Llc NPPES

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

NIAGARA DERMATOLOGY ASSOCIATES LLC (NPI 1649610858) is a healthcare organization registered as a dermatology in Lewiston, New York and active in the NPI registry since July 2013. The organization lists Craig Cameron Miller, Member, as its authorized official.

NPPES Registry Identity

NPI1649610858
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNIAGARA DERMATOLOGY ASSOCIATES LLC
Location Address5320 MILITARY RD, STE 104Lewiston, NY 14092-2149
Mailing Address5320 Military Rd, Ste 104Lewiston, NY 14092-2149 · (716) 205-8324 · Fax (716) 205-8593
Phone(716) 205-8324
Fax(716) 205-8593
Organization SubpartNo
Authorized OfficialCraig Cameron MillerMember · (716) 205-8324
Enumeration DateJuly 2, 2013
Last NPPES UpdateJanuary 9, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2022
✔ NPI 1649610858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NY · 211871
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5320 MILITARY RD, Lewiston, NY 14092
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Compliance 33D2061678

Niagara Dermatology Associates LLC · Lewiston, NY
Expired · Jul 31, 2026
CLIA Number33D2061678
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDr. Craig C. Miller
Laboratory Phone(716) 205-8324
Laboratory LocationNiagara Dermatology Associates LLC5320 Military Road, Suite 104, Lewiston, NY 14092
CLIA data matches this NPI record on: Address Name Phone
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 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
DR. JACK G BERTOLINO MD
Family Medicine
5320 MILITARY RD, SUITE #104
LEWISTON, NY 14092
Niagara County (716) 297-1153
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

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 Niagara Dermatology Associates LLC's NPI number?

The NPI number for Niagara Dermatology Associates LLC is 1649610858. It was assigned to this organization in the NPPES registry on July 2, 2013.

Where is Niagara Dermatology Associates LLC located?

Niagara Dermatology Associates LLC is located at 5320 Military Rd Ste 104, Lewiston, NY 14092. The listed phone number is (716) 205-8324.

What is Niagara Dermatology Associates LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Niagara Dermatology Associates LLC was last updated on January 9, 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.