Individual provider Active NPI

Marlene M Rogers, FNP

  • Family Nurse Practitioner
  • Williamsville, NY
National Provider Identifier
1457638405
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336867-1 Issued in NY
Practice address
8207 Main St Ste 7-8
Williamsville, NY 14221-6060
Phone
(716) 277-0267
Fax
(716) 803-8568
NPI assigned
Nov 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336867-1 NY Primary

Addresses

Primary practice location

8207 Main St Ste 7-8
Williamsville, NY 14221-6060

Mailing address

8207 Main St Ste 7-8
Williamsville, NY 14221-6060
Phone (716) 277-0267

Other practice location 1

39 Chalmers Street
Williamsville, NY 14221
Phone (212) 809-0500

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F336867-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sherry Ann Verostko-Slazak, Nurse Practitioner in Adult Health PLLC CurrentSince Mar 26, 2023 Accepting new patients
Southeast Nassau Guidance Center Past Accepting new patients
Southeast Nassau Guidance Center Inc. Past Accepting new patients

Locations

8207 Main St
Ste 78
Williamsville, NY 14221
Phone (716) 277-0267

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1457638405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8207 MAIN ST STE 7-8",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216060",
            "telephone_number": "716-277-0267",
            "fax_number": "716-803-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 MAIN ST STE 7-8",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216060",
            "telephone_number": "716-277-0267",
            "fax_number": "716-803-8568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Chalmers Street",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "14221",
            "country_code": "US",
            "telephone_number": "212-809-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MARLENE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336867-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.