Organization 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
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335722 Issued in NY
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.