Active NPI
Maria Remedios Lelis Polito, AGNP
- Adult Health Nurse Practitioner
- North Tonawanda, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F310697-01
- Practice address
- 637 Fairmont Avenue
North Tonawanda, NY 14120 - Phone
- (716) 857-0095
- Fax
- (716) 389-3915
- NPI assigned
- Oct 18, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F310697-01 | NY | Primary |
Addresses
Primary practice location
637 Fairmont Avenue
North Tonawanda, NY 14120
Mailing address
637 Fairmont Avenue
North Tonawanda, NY 14120
Phone (716) 857-0096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3488 Sheridan Dr
Amherst, NY 14226-1545
Phone (716) 832-6207
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F310697-01 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wny House Physician PLLC | Current | Accepting new patients | |
| Northeast Medical, P.C. | Current | Accepting new patients |
Locations
3488 Sheridan Dr
Buffalo, NY 14226
Phone (716) 551-1970
2865 Genesee St
Ste 2
Cheektowaga, NY 14225
Phone (716) 262-0616
2865 Genesee St
Cheektowaga, NY 14225
Phone (716) 262-0616
1404 Pine Ave
Niagara Falls, NY 14301
Phone (716) 284-8333
2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100
Interoperability endpoints
- maria.remedios.polito.1@13610.direct.athenahealth.com
- https://api.platform.athenahealth.com/13610/brand/1/csg/1/fhir/r4
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Cheektowaga, NY
- NPI 1912393406
-
- Internal Medicine Physician
- Amherst, NY
- NPI 1003449745
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Millard Fillmore Suburban Hospital
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
dba Golisano Children's Hospital of Buffalo
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
dba Millard Fillmore Gates Hospital
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
-
- General Acute Care Hospital
- Niagara Falls, NY
- NPI 1285717298
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1255057519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 FAIRMONT AVENUE",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "14120",
"telephone_number": "716-857-0096",
"fax_number": "716-389-3915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 FAIRMONT AVENUE",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "14120",
"telephone_number": "716-857-0095",
"fax_number": "716-389-3915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLITO",
"first_name": "MARIA REMEDIOS",
"middle_name": "LELIS",
"name_prefix": "Mrs.",
"credential": "AGNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F310697-01",
"primary": true
}
],
"identifiers": [],
"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 Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.