Mary John, M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

049204 Issued in NY

Practice address

2521 Vestal Pkwy W
Vestal, NY 13850-1056

Phone

(607) 754-2217

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306925904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 WESTERN HEIGHTS BLVD",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137603749",
            "telephone_number": "607-754-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 VESTAL PKWY W",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501056",
            "telephone_number": "607-754-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Janik, PT
• Ashlynn Morgan Jennings, BSN, RN
• Amber L Jerauld, PHARMD
• Jill Van Pelt LCSW PLLC
• John Todd Mansfield Physical Therapy, PC
• Julia Mae Johnson, LMHC
• Linda W Johnson
• Tara Joy Johnson, LMSW
• Tiffany Ann Johnson, OT
• Rosemarie Ann Jones, PMHNP

• General Practice Dentistry in Vestal, NY
• Providers in Vestal, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.