Individual provider Active NPI

Maria Remedios Lelis Polito, AGNP

  • Adult Health Nurse Practitioner
  • North Tonawanda, NY
National Provider Identifier
1255057519
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310697-01 Issued in NY
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

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112003631 NY Practitioner - Nurse Practitioner 5890229991 Reassigns benefits to 2 organizations

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
Northeast Medical, P.C.Group PAC ID 7810208824, 8 clinicians

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

LicenseStateTypeSpecialty
F310697-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wny House Physician PLLC CurrentSince Nov 1, 2024 Accepting new patients
Northeast Medical, P.C. CurrentSince Jun 7, 2025 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

  • Direct secure messaging: maria.remedios.polito.1@13610.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.