Active NPI
Eufemia J a Mariano, MD
- Obstetrics & Gynecology Physician
- Rochester, NY
National Provider Identifier
1114995438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 1341791
- Practice address
- 990 South Avenue
Suite 104
Rochester, NY 14620 - Phone
- (585) 256-3000
- Fax
- (585) 256-3045
- NPI assigned
- Mar 11, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 1341791 | NY | Primary |
Addresses
Primary practice location
990 South Avenue
Suite 104
Rochester, NY 14620
Mailing address
990 South Avenue
Suite 104
Rochester, NY 14620
Phone (585) 256-3000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01252120 | Medicaid | NY | |
| 4345322 | Other | AETNA | |
| 2917 | Other | NY | BLUE SHIELD |
| 100818CK | Other | NY | PREFERRED CARE |
| 10511421 | Other | CAQH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1341791 | NY | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114995438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 SOUTH AVENUE",
"address_2": "SUITE 104",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14620",
"telephone_number": "585-256-3000",
"fax_number": "585-256-3045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 SOUTH AVENUE",
"address_2": "SUITE 104",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14620",
"telephone_number": "585-256-3000",
"fax_number": "585-256-3045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIANO",
"first_name": "EUFEMIA",
"middle_name": "J A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "1341791",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01252120",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4345322",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "2917",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "100818CK",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10511421",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, 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.