Mary Carol Scrocco, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F330647-1 Issued in NY

Practice address

462 Grider St
Pod 154
Buffalo, NY 14215-0000

Phone

(716) 898-3388

Fax

(716) 898-4532

NPI assigned

Mar 30, 2010

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

Other names 1

• Mary Carol Noonen Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1437474715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "POD 154",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142150000",
            "telephone_number": "716-898-3388",
            "fax_number": "716-898-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "address_2": "POD 154",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142150000",
            "telephone_number": "716-898-3388",
            "fax_number": "716-898-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCROCCO",
        "first_name": "MARY",
        "middle_name": "CAROL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330647-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "NOONEN",
            "middle_name": "CAROL",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracey Lynn Scott, RN
• Christina M Scovazzo, PA
• Nicole C Scovazzo, PA-C
• Amy Albert Scozzaro
• Michelle Elizabeth Script, MSED.SLP-CCC
• Tami Scruggs
• Karen Julie Scutt, PT
• Latoya Seals
• Nyerie Sealy, LPN
• Erina Marie Seaman-Graham, LMSW

• Family Nurse Practitioner in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.