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GREAT LAKES PHYSICIAN, PC
NPI 1659310092
Urology in Cheektowaga, NY

Active since June 04, 2006CLIA Certified · 2 labs
3085 HARLEM RD, SUITE 350, CHEEKTOWAGA, NY 14225(716) 844-5000(716) 844-5050 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2022, Apr 25, 2017 (2 updates tracked since 2017).

About Great Lakes Physician, Pc NPPES

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

GREAT LAKES PHYSICIAN, PC (NPI 1659310092), doing business as Western New York Urology Associates Llc, is a healthcare organization registered as an urology in Cheektowaga, New York and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Kairav Kent Chevli, Managing Physician, as its authorized official.

NPPES Registry Identity

NPI1659310092
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGREAT LAKES PHYSICIAN, PC
Location Address3085 HARLEM RD, SUITE 350Cheektowaga, NY 14225-2591
Mailing Address3085 Harlem Rd, Suite 350Cheektowaga, NY 14225-2591 · (716) 844-5000 · Fax (716) 844-5050
Phone(716) 844-5000
Fax(716) 844-5050
Organization SubpartNo
Authorized OfficialKairav Kent ChevliManaging Physician · (716) 844-5000
Enumeration DateJune 4, 2006
Last NPPES UpdateJune 7, 20222 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
✔ NPI 1659310092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
3085 HARLEM RD, Cheektowaga, NY 14225
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Other Names 1

Former Legal Business NameWestern New York Urology Associates Llc

Other Identifiers 1

Medicaid03869087NY

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 2

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 33D0702730

Great Lakes Physician PC · Cheektowaga, NY
Active · expires Oct 6, 2026
CLIA Number33D0702730
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2024
Certificate Expiration DateOctober 6, 2026
Laboratory DirectorDr. Joseph M. Greco
Laboratory Phone(716) 844-5000
Laboratory LocationGreat Lakes Physician PC3085 Harlem Road, Suite 200, Cheektowaga, NY 14225
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.

Certificate of Waiver 33D2174603

Great Lakes Physicians, PC Dba Western New York Urology Associates · Buffalo, NY
Active · expires Nov 4, 2027
CLIA Number33D2174603
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorDr. Joseph M. Greco
Laboratory Phone(716) 844-5000
Laboratory LocationGreat Lakes Physicians, PC Dba Western New York Urology Associates1001 Main Street - 4th Floor - Room 4197, Buffalo, NY 14203
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. MICHAEL DUFF M.D.
Radiology (Radiation Oncology)
3085 HARLEM RD, STE 100
CHEEKTOWAGA, NY 14225
Erie County (716) 844-5500
KEVIN J BARLOG M.D.
Urology
3085 HARLEM RD, STE 200
CHEEKTOWAGA, NY 14225
Erie County (716) 844-5000
MS. KAREN ANNE PANE ANP
Nurse Practitioner (Adult Health)
3085 HARLEM RD, SUITE 200
CHEEKTOWAGA, NY 14225
Erie County (716) 844-5000
APEX IMAGING I, P.C.
Radiology (Diagnostic Radiology)
3085 HARLEM RD
CHEEKTOWAGA, NY 14225
Erie County (716) 859-2954
INTEGRATED CLINICAL SERVICES
Urology
3085 HARLEM RD, STE 350
CHEEKTOWAGA, NY 14225
Erie County (716) 844-5600
DR. K KENT CHEVLI M.D.
Urology
3085 HARLEM RD, STE 200
CHEEKTOWAGA, NY 14225
Erie County (716) 844-5000
DR. ABEER EDDIB MD
Urology (Urogynecology and Reconstructive Pelvic Surgery)
3085 HARLEM RD, SUITE 200
CHEEKTOWAGA, NY 14225
Erie County (716) 844-5000
MR. DANIEL PHILIP REED P.A.
Physician Assistant
3085 HARLEM RD, SUITE 200
CHEEKTOWAGA, NY 14225
Erie County (716) 844-5000

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 Great Lakes Physician, PC's NPI number?

The NPI number for Great Lakes Physician, PC is 1659310092. It was assigned to this organization in the NPPES registry on June 4, 2006. The provider was formerly known as Western New York Urology Associates LLC.

Where is Great Lakes Physician, PC located?

Great Lakes Physician, PC is located at 3085 Harlem Rd Suite 350, Cheektowaga, NY 14225. The listed phone number is (716) 844-5000.

What is Great Lakes Physician, PC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Great Lakes Physician, PC hold CLIA laboratory certificates?

Yes. 2 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 Great Lakes Physician, PC was last updated on June 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.