Organization Active NPI

Dr.Mark S. St.Marie Physician PLLC

  • Preferred Provider Organization
  • West Seneca, NY
National Provider Identifier
1346797354
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
1363121 Issued in NY
Legal business name
DR.MARK S. ST.MARIE PHYSICIAN PLLC
Practice address
550 Orchard Park Rd
Building a Suite 104
West Seneca, NY 14224-2646
Phone
(716) 671-2130
Fax
(716) 671-5346
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Catherine Margaret Delmonte, MEDICAL ASSISTANT
Title
Office Manager
Phone
(716) 671-2130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 1363121 NY Primary

Addresses

Primary practice location

550 Orchard Park Rd
Building a Suite 104
West Seneca, NY 14224-2646

Mailing address

550 Orchard Park Rd
Building a Suite 104
West Seneca, NY 14224-2646
Phone (716) 671-2130

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1346797354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD",
            "address_2": "BUILDING A SUITE 104",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242646",
            "telephone_number": "716-671-2130",
            "fax_number": "716-671-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD",
            "address_2": "BUILDING A SUITE 104",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242646",
            "telephone_number": "716-671-2130",
            "fax_number": "716-671-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.MARK S. ST.MARIE PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "DELMONTE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-671-2130",
        "authorized_official_credential": "MEDICAL ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "1363121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.