Active NPI
Hamburg Nurse Practitioners in Adult & Family Health Care PLLC
Doing business as Hamburg Primary Care
- Family Nurse Practitioner
- Hamburg, NY
National Provider Identifier
1053755876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 335722
- Legal business name
- HAMBURG NURSE PRACTITIONERS IN ADULT & FAMILY HEALTH CARE PLLC
- Doing business as
- Hamburg Primary Care
- Practice address
- 4535 Southwestern Blvd
Suite 705
Hamburg, NY 14075-1860 - Phone
- (716) 648-3300
- Fax
- (716) 648-3322
- NPI assigned
- Apr 23, 2013
- Last updated
- Mar 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Catherine Cerrillo
- Title
- DNP Anp - Owner of Practice
- Phone
- (716) 648-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 335722 | NY | Primary |
Addresses
Primary practice location
4535 Southwestern Blvd
Suite 705
Hamburg, NY 14075-1860
Mailing address
4535 Southwestern Blvd
Suite 705
Hamburg, NY 14075-1860
Phone (716) 648-3300
Other names 1
- Hamburg Primary Care
National Provider Directory
National Provider DirectoryLocations
4535 Southwestern Blvd
Ste 705
Hamburg, NY 14075
Phone (716) 480-8210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426118400000",
"number": "1053755876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 SOUTHWESTERN BLVD",
"address_2": "SUITE 705",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140751860",
"telephone_number": "716-648-3300",
"fax_number": "716-648-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4535 SOUTHWESTERN BLVD",
"address_2": "SUITE 705",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140751860",
"telephone_number": "716-648-3300",
"fax_number": "716-648-3322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMBURG NURSE PRACTITIONERS IN ADULT & FAMILY HEALTH CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-23",
"last_updated": "2015-03-12",
"status": "A",
"authorized_official_last_name": "CERRILLO",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "CATHERINE",
"authorized_official_title_or_position": "DNP ANP - OWNER OF PRACTICE",
"authorized_official_telephone_number": "716-648-3300"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "335722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hamburg Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.