Eastern Niagara Medical Group
NPI 1346796398 · Family Medicine Physician · Lockport, NY
Eastern Niagara Medical Group is a Family Medicine Physician organization in Lockport, NY (NPI 1346796398).
Provider details
- NPI number
- 1346796398
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Eastern Niagara Hospital, Inc
- Organization subpart
- Yes
- Authorized official
- Michael Ickowski, Cfo(716) 514-5501
- License
- 3101000H (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2016-08-30
- Last updated
- 2016-09-01
Frequently asked questions
- What is Eastern Niagara Medical Group's NPI number?
- Eastern Niagara Medical Group's National Provider Identifier (NPI) is 1346796398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastern Niagara Medical Group?
- Eastern Niagara Medical Group is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Eastern Niagara Medical Group located?
- Eastern Niagara Medical Group's practice location on file with NPPES is 53 Elizabeth Dr, Lockport, NY 14094-5226.
- What is Eastern Niagara Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Eastern Niagara Medical Group is (716) 514-5501.
- Who is the authorized official for Eastern Niagara Medical Group?
- The authorized official listed on Eastern Niagara Medical Group's NPPES record is Michael Ickowski, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastern Niagara Medical Group's NPI active?
- Yes — Eastern Niagara Medical Group's NPI (1346796398) is active in the NPPES registry as of the last update on 2016-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.