Mary Monica Raczka, R.N.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

435677-1 Issued in NY

Practice address

360 Delaware Ave
Suite 310
Buffalo, NY 14202-1620

Phone

(716) 852-5900

Fax

(716) 852-5913

NPI assigned

Apr 1, 2010

Sex

Female

Sole proprietor

Yes

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1346565389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 DELAWARE AVE",
            "address_2": "SUITE 310",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021620",
            "telephone_number": "716-852-5900",
            "fax_number": "716-852-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 DELAWARE AVE",
            "address_2": "SUITE 310",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021620",
            "telephone_number": "716-852-5900",
            "fax_number": "716-852-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACZKA",
        "first_name": "MARY",
        "middle_name": "MONICA",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "435677-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Leo Rabey, PHARMD.
• Victoria Ann Rabidue, PA-C
• Sofia Rachad
• Rachel M Gill LCSW PLLC
• Kenneth J Raczka, D.D.S.
• Michelle Carol Raczka, MD
• Ashley Elizabeth Raczkiewicz, LMT
• Cheryl Raczyk, PA
• Robert William Radau, CERTIFIED OPTICIAN
• Julie Rose Radder, LMSW

• Home Health Agency in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.