St John NP in Family Health PLLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

ST JOHN NP IN FAMILY HEALTH PLLC

Practice address

8770 Transit Rd Ste 3
East Amherst, NY 14051-1786

Phone

(716) 245-4431

Fax

(716) 245-4432

NPI assigned

Dec 6, 2017

Organization subpart

No

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

Authorized official

Name

Marianne E St John, NPNPI 1053699041

Title

Owner

Phone

(716) 491-3221

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Marianne Elizabeth St John, FNP

  • Family Nurse Practitioner
  • East Amherst, NY
  • NPI 1053699041
  Medicare reassignment NPD Authorized official
• Jonathan Matthew Soh, M.D.

  • MOHS-Micrographic Surgery Physician
  • Rochester, NY
  • NPI 1104271840
  NPD

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1275048738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8770 TRANSIT RD STE 3",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511786",
            "telephone_number": "716-245-4431",
            "fax_number": "716-245-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8770 TRANSIT RD STE 3",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511786",
            "telephone_number": "716-245-4431",
            "fax_number": "716-245-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN NP IN FAMILY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "ST JOHN",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-491-3221",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue A Siva, CCC-SLP
• Kevin Smith, LCSWR
• Victoria A Smith, PA-C
• Grace Sokolowski, M.A., CCC-SLP
• Tamah Spaulding, LMSW
• Marianne Elizabeth St John, FNP
• Kim M Stancampiano, LPN
• Amy Rachel Sternberg
• Tyler Thomas Stuebchen, PA-C
• Makayla Sutton

• Addiction Medicine (Family Medicine) Physician in East Amherst, NY
• Providers in East Amherst, NY by specialty
• Addiction Medicine (Family Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.