St Marys Manor

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ST MARYS MANOR

Practice address

291 North St
Buffalo, NY 14201-1306

Phone

(716) 923-4858

NPI assigned

Jan 5, 2010

Last updated

Jan 5, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James A Dunlop Jr.

Title

Sr. VP/Cfo

Phone

(716) 862-2431

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1033449624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 NORTH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 NORTH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011306",
            "telephone_number": "716-923-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "DUNLOP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SR. VP/CFO",
        "authorized_official_telephone_number": "716-862-2431",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00475498",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Sroka
• Raymond David Sroka, MD
• St Catherine Laboure Medical Adult Day Healthcare Program
• St Francis Geriatric & Healthcare Facility
• Bryan St Marie
• Carissa Marie St. John
• St. Lucie Gastrointestinal Diseases PL
• Raymond St. Marie, M.D.
• St. Mary's School for the Deaf
• Erika St.James, MD

• Skilled Nursing Facility in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.