Active NPI
Mary L Nolan, PA
- Physician Assistant
- Buffalo, NY
National Provider Identifier
1003841156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 005299-1
- Practice address
- 565 Abbott Rd
@ Mercy Hospital of Buffalo
Buffalo, NY 14220-2039 - Phone
- (518) 383-5450
- Fax
- (518) 383-4223
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 005299-1 | NY | Primary |
Addresses
Primary practice location
565 Abbott Rd
@ Mercy Hospital of Buffalo
Buffalo, NY 14220-2039
Mailing address
1150 Youngs Rd
Ste 104
Williamsville, NY 14221-8024
Phone (716) 636-7990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01627307 | Medicaid | NY |
Other names 1
- Mary L Zuercher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005299-1 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highgate Medical Group | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- mnolan@highgatemedical.medentdirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Amherst, NY
- NPI 1326158593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1003841156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 YOUNGS RD",
"address_2": "STE 104",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218024",
"telephone_number": "716-636-7990",
"fax_number": "716-929-0192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 ABBOTT RD",
"address_2": "@ MERCY HOSPITAL OF BUFFALO",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142202039",
"telephone_number": "518-383-5450",
"fax_number": "518-383-4223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "MARY",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "005299-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01627307",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "ZUERCHER",
"middle_name": "L",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.