Active NPI
Marla J. Calabro, PA
- Physician Assistant
- Niagara Falls, NY
National Provider Identifier
1326694597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 620 10TH St Ste 704
Niagara Falls, NY 14301-1841 - Phone
- (716) 278-4402
- Fax
- (716) 278-4645
- NPI assigned
- Aug 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
620 10TH St Ste 704
Niagara Falls, NY 14301-1841
Mailing address
621 10TH St
Niagara Falls, NY 14301-1813
Phone (716) 278-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023924 | Other | NY | NY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1326694597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 10TH ST",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011813",
"telephone_number": "716-278-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 10TH ST STE 704",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011841",
"telephone_number": "716-278-4402",
"fax_number": "716-278-4645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALABRO",
"first_name": "MARLA",
"middle_name": "J.",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-14",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY LICENSE",
"identifier": "023924",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.