Active NPI
David Louis Marchetti, MD
- Gynecologic Oncology Physician
- Cheektowaga, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 1465481
- Practice address
- 3085 Harlem Rd Ste 300
Cheektowaga, NY 14225-2594 - Phone
- (716) 422-5422
- Fax
- (716) 422-5420
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 1465481 | NY | Primary |
Addresses
Primary practice location
3085 Harlem Rd Ste 300
Cheektowaga, NY 14225-2594
Mailing address
908 Niagara Falls Blvd Ste 208
North Tonawanda, NY 14120-2019
Phone (716) 692-3302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00844688 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1465481 | NY | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Physician, PC | Current | Accepting new patients | |
| Gynecologic Oncology Associates of Western New York PC | Gynecologic Oncology | Past | Accepting new patients |
Locations
3085 Harlem Rd
Ste 300
Cheektowaga, NY 14225
Phone (716) 422-5422
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613
1020 Youngs Rd
Ste 130
Williamsville, NY 14221
Phone (716) 689-8398
45 Spindrift Dr
Ste 100
Williamsville, NY 14221
Phone (716) 422-5422
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- Gynecologic Oncology Physician
- Williamsville, NY
- NPI 1477619732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507939200000",
"number": "1528042835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 NIAGARA FALLS BLVD STE 208",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141202019",
"telephone_number": "716-692-3302",
"fax_number": "716-692-4342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3085 HARLEM RD STE 300",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142252594",
"telephone_number": "716-422-5422",
"fax_number": "716-422-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHETTI",
"first_name": "DAVID",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2017-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "NY",
"license": "1465481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00844688",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cheektowaga, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2017; 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.