EASTERN NIAGARA OB/GYN PC NPI 1669422697

NPI Information

  • NPI: 1669422697
  • Provider Name: EASTERN NIAGARA OB/GYN, PC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 33D0169211
  • Address: 175 WALNUT ST.
    SUITE 7
    LOCKPORT, NY
    ZIP 14094
  • Phone: (716) 433-1941

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NPI Details

EASTERN NIAGARA OB/GYN, PC is an obstetrics gynecology in Lockport, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. EASTERN NIAGARA OB/GYN, PC NPI is 1669422697. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

175 WALNUT ST.
SUITE 7
LOCKPORT, NY
ZIP 14094-775
Phone: (716) 433-1941
Fax: (716) 439-1233

The provider's authorized official is Roger G Jammal .
The authorized official title is President and has the following contact phone number (716) 433-1941.

The CLIA number assigned to this NPI record is 33D0169211 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 7/18/2015.

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
1207V00000XObstetrics & GynecologyYes

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
1000933MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
200933MEDICARE UPINNEW YORK
300929593MEDICAIDNEW YORK

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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