Individual provider Active NPI

Maria Lurdes Oliveira, MD

  • Child & Adolescent Psychiatry Physician
  • Amherst, NY
National Provider Identifier
1306092556
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
247443 Issued in NY
Practice address
575 Alberta Dr Ste 2
Amherst, NY 14226-1139
Phone
(716) 832-0720
Fax
(716) 832-5867
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 247443 NY
Child & Adolescent Psychiatry Physician 2084P0804X 247443 NY Primary

Addresses

Primary practice location

575 Alberta Dr Ste 2
Amherst, NY 14226-1139

Mailing address

575 Alberta Dr Ste 2
Amherst, NY 14226-1139
Phone (716) 832-0720

Other identifiers 1

IdentifierTypeStateIssuer
02249154MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000262 NY Practitioner - Psychiatry 8820258478 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
247443NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Psychiatric Practice, Inc Psychiatry CurrentSince Apr 1, 2013 Accepting new patients

Locations

462 Grider St
Rm 1168
Buffalo, NY 14215
Phone (716) 898-4857

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1306092556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 ALBERTA DR STE 2",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261139",
            "telephone_number": "716-832-0720",
            "fax_number": "716-832-5867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 ALBERTA DR STE 2",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261139",
            "telephone_number": "716-832-0720",
            "fax_number": "716-832-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEIRA",
        "first_name": "MARIA",
        "middle_name": "LURDES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "247443",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "247443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02249154",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.