Individual provider Active NPI

Mariola B Poss, MD

  • Surgery Physician
  • Williamsville, NY
National Provider Identifier
1669516423
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
279073 Issued in NY
Practice address
199 Park Club LN Ste 100
Williamsville, NY 14221-5269
Phone
(716) 332-6834
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X N6965 TX
Surgery Physician 208600000X 279073 NY Primary

Addresses

Primary practice location

199 Park Club LN Ste 100
Williamsville, NY 14221-5269

Mailing address

199 Park Club LN Ste 100
Williamsville, NY 14221-5269
Phone (716) 332-6834

Other practice location 1

3041 Orchard Park Rd
Orchard Park, NY 14127-1238
Phone (716) 674-3104

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160718001164 NY Practitioner - General Surgery 4486847589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of New York at Buffalo School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rpci Oncology, PCGroup PAC ID 3870731029, 62 clinicians

Practice addresses (Care Compare)

199 Park Club LN
Suite 100
Williamsville, NY 14221-5269
Phone (716) 332-6834

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy40
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
279073NYMDSurgery Physician
N6965TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Medical Group, P.C. Surgery CurrentSince Jan 10, 2017 Accepting new patients
Saif Soniwala,M.D.,PC Current Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Jan 10, 2017 Accepting new patients
Rpci Oncology PC Surgery CurrentSince Jul 29, 2016 Accepting new patients

Locations

85 High St
Buffalo, NY 14203
Phone (716) 857-8623

3900 N Buffalo St
Orchard Park, NY 14127
Phone (716) 630-1112

199 Park Club Ln
Ste 200
Williamsville, NY 14221
Phone (716) 634-3340

199 Park Club Ln
Ste 100
Williamsville, NY 14221
Phone (716) 332-6834

295 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1050

Interoperability endpoints

  • Direct secure messaging: mposs@breastcarewny.medentdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1669516423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 PARK CLUB LN STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215269",
            "telephone_number": "716-332-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 PARK CLUB LN STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215269",
            "telephone_number": "716-332-6834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3041 Orchard Park Rd",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141271238",
            "country_code": "US",
            "telephone_number": "716-674-3104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POSS",
        "first_name": "MARIOLA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N6965",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "279073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.