Active NPI
Mary Kay Ness, MD
- Family Medicine Physician
- Honeoye Falls, NY
National Provider Identifier
1659325082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 136009
- Practice address
- 23 Ontario Street
Honeoye Falls, NY 14472 - Phone
- (585) 624-2121
- Fax
- (585) 624-7283
- NPI assigned
- May 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 136009 | NY | Primary |
Addresses
Primary practice location
23 Ontario Street
Honeoye Falls, NY 14472
Mailing address
23 Ontario Street
Honeoye Falls, NY 14472
Phone (585) 624-2121
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010136009 | Other | NY | BLUE CHOICE |
| 100837BF | Other | NY | PREFERRED CARE |
| 00507406 | Medicaid | NY |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136009 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251158400000",
"number": "1659325082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 ONTARIO STREET",
"city": "HONEOYE FALLS",
"state": "NY",
"postal_code": "14472",
"telephone_number": "585-624-2121",
"fax_number": "585-624-7283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 ONTARIO STREET",
"city": "HONEOYE FALLS",
"state": "NY",
"postal_code": "14472",
"telephone_number": "585-624-2121",
"fax_number": "585-624-7283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESS",
"first_name": "MARY KAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2009-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "136009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010136009",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "100837BF",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00507406",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honeoye Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.