Organization Active NPI

Roehmholdt Neurology PC

  • Neurology Physician
  • Williamsville, NY
National Provider Identifier
1275963043
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
128036 Issued in NY
Legal business name
ROEHMHOLDT NEUROLOGY PC
Practice address
300 Essjay Rd
Suite 105
Williamsville, NY 14221-8208
Phone
(716) 634-6357
Fax
(716) 634-3448
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

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

Authorized official

Name
Dr. Mary Elizabeth A Roehmholdt, M.D.
Title
President
Phone
(716) 634-6357

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 128036 NY Primary

Addresses

Primary practice location

300 Essjay Rd
Suite 105
Williamsville, NY 14221-8208

Mailing address

300 Essjay Rd
Suite 105
Williamsville, NY 14221-8208
Phone (716) 634-6357

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1275963043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ESSJAY RD",
            "address_2": "SUITE 105",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218208",
            "telephone_number": "716-634-6357",
            "fax_number": "716-634-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ESSJAY RD",
            "address_2": "SUITE 105",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218208",
            "telephone_number": "716-634-6357",
            "fax_number": "716-634-3448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROEHMHOLDT NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "ROEHMHOLDT",
        "authorized_official_first_name": "MARY ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-634-6357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "128036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.