Physicians Practice of Eastern Niagara PC
NPI 1053733915 · Surgery Physician · Lockport, NY
Physicians Practice of Eastern Niagara PC is a Surgery Physician organization in Lockport, NY (NPI 1053733915).
Provider details
- NPI number
- 1053733915
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Ickowski, Cfo(716) 514-5501
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Surgical Critical Care Physician2086S0102X
Allopathic & Osteopathic Physicians
- Trauma Surgery Physician2086S0127X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-01-13
- Last updated
- 2014-01-13
Frequently asked questions
- What is Physicians Practice of Eastern Niagara PC's NPI number?
- Physicians Practice of Eastern Niagara PC's National Provider Identifier (NPI) is 1053733915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Physicians Practice of Eastern Niagara PC?
- Physicians Practice of Eastern Niagara PC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Physicians Practice of Eastern Niagara PC located?
- Physicians Practice of Eastern Niagara PC's practice location on file with NPPES is 15 Elizabeth Dr, Lockport, NY 14094-5226.
- What is Physicians Practice of Eastern Niagara PC's phone number?
- The practice phone number listed in the NPPES registry for Physicians Practice of Eastern Niagara PC is (716) 692-3302.
- Who is the authorized official for Physicians Practice of Eastern Niagara PC?
- The authorized official listed on Physicians Practice of Eastern Niagara PC's NPPES record is Michael Ickowski, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Physicians Practice of Eastern Niagara PC's NPI active?
- Yes — Physicians Practice of Eastern Niagara PC's NPI (1053733915) is active in the NPPES registry as of the last update on 2014-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.