Active NPI
Mary Alice Kielich-Gregoire, OTR
- Specialist
- Buffalo, NY
National Provider Identifier
1033366398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 007125-1
- Practice address
- 737 Delaware Ave
Suite 216
Buffalo, NY 14209-2260 - Phone
- (716) 886-7867
- NPI assigned
- Aug 19, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 007125-1 | NY | Primary |
Addresses
Primary practice location
737 Delaware Ave
Suite 216
Buffalo, NY 14209-2260
Mailing address
685 Porterville Rd
East Aurora, NY 14052-1532
Phone (716) 652-4986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007125-1 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1033366398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 PORTERVILLE RD",
"city": "EAST AURORA",
"state": "NY",
"postal_code": "140521532",
"telephone_number": "716-652-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 DELAWARE AVE",
"address_2": "SUITE 216",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142092260",
"telephone_number": "716-886-7867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIELICH-GREGOIRE",
"first_name": "MARY",
"middle_name": "ALICE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "007125-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.