Organization Active NPI

Maria Rita Andaya M.D.,PLLC

  • Internal Medicine Physician
  • Lackawanna, NY
National Provider Identifier
1184873770
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MARIA RITA ANDAYA M.D.,PLLC
Practice address
15 Melroy Ave
Lackawanna, NY 14218-1626
Phone
(716) 821-0170
Fax
(716) 821-0568
NPI assigned
Sep 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Maria Rita P Andaya, M.D.NPI 1639102874
Title
Owner
Phone
(716) 821-0170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

15 Melroy Ave
Lackawanna, NY 14218-1626

Mailing address

1344 McKinley Pkwy
Lackawanna, NY 14218-1643
Phone (716) 821-0170

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1184873770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 MCKINLEY PKWY",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181643",
            "telephone_number": "716-821-0170",
            "fax_number": "716-821-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MELROY AVE",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181626",
            "telephone_number": "716-821-0170",
            "fax_number": "716-821-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA RITA ANDAYA M.D.,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "ANDAYA",
        "authorized_official_first_name": "MARIA RITA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-821-0170",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackawanna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.