NIAGARA UROLOGY ASSOCIATES PC NPI 1255419594

NPI Information

NPI: 1255419594
Provider Name: NIAGARA UROLOGY ASSOCIATES PC
Classification: Urology - 208800000X
Entity Type: Organization
Address: 1 COLOMBA DR
SUITE 2
NIAGARA FALLS, NY
ZIP 14305
Phone: (716) 285-3464

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NPI Details

NIAGARA UROLOGY ASSOCIATES PC is an urology in Niagara Falls, NY. The provider is 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. NIAGARA UROLOGY ASSOCIATES PC NPI is 1255419594. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 COLOMBA DR
SUITE 2
NIAGARA FALLS, NY
ZIP 14305-205
Phone: (716) 285-3464
Fax: (716) 285-8520

The provider's authorized official is Chairat Butsunturn .
The authorized official title is President and has the following contact phone number (716) 285-3464.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 7/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	066801	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	GRP506680001	OTHER	NEW YORK	BLUE CROSS BLUE SHIELD
3	33D0681581	OTHER	NEW YORK	CLIA#
4	009353099	OTHER	NEW YORK	GHI
5	CF3362	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	RAILROAD MEDICARE
6	0111170	OTHER	NEW YORK	FIDELIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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