Mary Catherine Sperduti Cerrillo, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

303205 Issued in NY

Practice address

60 Innsbruck Dr
Cheektowaga, NY 14227-2735

Phone

(716) 668-7051

Fax

(716) 668-7069

NPI assigned

May 1, 2006

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 identifiers 1

Other names 1

• Mary Cerrillo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1558329672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3262 KENDRICK PL",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140753656",
            "telephone_number": "716-646-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 INNSBRUCK DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142272735",
            "telephone_number": "716-668-7051",
            "fax_number": "716-668-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERDUTI CERRILLO",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "303205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "303205",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CERRILLO",
            "credential": "ANP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jolene T Sparacino, MLSW
• Patrick Sparks, ATC
• Justin Spears, LCSW
• Katherine Marie Spence, PHARMD
• Jeffrey Spencer, M.D.
• Patricia A Sperle, OT
• Sarah Spoon, LPN
• Jennifer Spors
• Lisa Springer
• Emmanuelle Spronk

• Adult Health Nurse Practitioner in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.