June Marie Telaak, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F331367 Issued in NY

Practice address

15 Melroy Ave
Lackawanna, NY 14218-1626

Phone

(716) 549-4724

Fax

(716) 821-0568

NPI assigned

Jun 14, 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 4

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

Practice roles

Locations

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.

• Trinity Medical Wny PC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1295043149
  Medicare reassignment NPD
• Anthony J Buscaglia, MD, FCCP

  • Pulmonary Disease Physician
  • Buffalo, NY
  • NPI 1265579536
  Medicare reassignment
• Trinity Medical Wny PC

  • Vascular Surgery Physician
  • Buffalo, NY
  • NPI 1205468055
  NPD
• General Physician, PC

  • General Practice Physician
  • Dunkirk, NY
  • NPI 1093959322
  NPD (past)
• Maria Rita Andaya M.D.,PLLC

  • Internal Medicine Physician
  • Lackawanna, NY
  • NPI 1184873770
  NPD (past)
• Maria Rita Andaya MD PLLC

  • Internal Medicine Physician
  • Lackawanna, NY
  • NPI 1922233477
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1619910718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 MCKINLEY PKWY",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181643",
            "telephone_number": "716-649-0887",
            "fax_number": "716-646-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MELROY AVE",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181626",
            "telephone_number": "716-549-4724",
            "fax_number": "716-821-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELAAK",
        "first_name": "JUNE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F331367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026501304",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000560258006",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02074257",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9511891",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Sweeney, PEER SPECIALISTS
• Denise Syracuse
• Gloria Szwajda
• Kari Szymaszek, M.S.
• Thomas John Taylor Jr., DC
• Vernita Thompson, LMSW
• Gloria R Tilley
• Emily Todoro
• Jordan Toles
• Michael Edward Tomasik

• Nurse Practitioner in Lackawanna, NY
• Providers in Lackawanna, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.