Active NPI
Mencio Antonio Chez, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- North Tonawanda, NY
National Provider Identifier
1083643209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 193588-1
- Practice address
- 1089 Kinkead Ave
Suite 201
North Tonawanda, NY 14120-2840 - Phone
- (716) 694-6284
- Fax
- (716) 694-1322
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 193588-1 | NY | Primary |
Addresses
Primary practice location
1089 Kinkead Ave
Suite 201
North Tonawanda, NY 14120-2840
Mailing address
1089 Kinkead Ave
Suite 201
North Tonawanda, NY 14120-2840
Phone (716) 694-6284
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2207119 | Other | NY | INDEPENDENT HEALTH |
| 000523652002 | Other | NY | BLUE CROSS BLUE SHIELD |
| 00010029601 | Other | NY | UNIVERA |
| 01814020 | Medicaid | NY |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 193588-1 | NY | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083643209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1089 KINKEAD AVE",
"address_2": "SUITE 201",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141202840",
"telephone_number": "716-694-6284",
"fax_number": "716-694-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1089 KINKEAD AVE",
"address_2": "SUITE 201",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141202840",
"telephone_number": "716-694-6284",
"fax_number": "716-694-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEZ",
"first_name": "MENCIO",
"middle_name": "ANTONIO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "193588-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "2207119",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000523652002",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010029601",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01814020",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.