Individual provider Active NPI

Mary Andrea Santiago Dela Torre, M.D.

  • Obstetrics & Gynecology Physician
  • Penfield, NY
National Provider Identifier
1679721567
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
267564 Issued in NY
Practice address
43 Willow Pond Way
Suite 200
Penfield, NY 14526-2638
Phone
(585) 377-5420
Fax
(585) 377-3690
NPI assigned
Sep 4, 2008
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 267564 NY Primary

Addresses

Primary practice location

43 Willow Pond Way
Suite 200
Penfield, NY 14526-2638

Mailing address

43 Willow Pond Way
Suite 200
Penfield, NY 14526-2638
Phone (585) 377-5420

Other practice location 1

229 Parrish St Ste 200
Canandaigua, NY 14424-1791
Phone (585) 377-5420

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
I20110914000134 NY Practitioner - Obstetrics/Gynecology 3971774407 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penfield Obstetrics and Gynecology LLPGroup PAC ID 0547233900, 7 clinicians

Practice addresses (Care Compare)

43 Willow Pond Way
Suite 200
Penfield, NY 14526-2638
Phone (585) 377-5420

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003878NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Nov 25, 2022 Accepting new patients
Penfield Obstetrics and Gynecology LLP Obstetrics & Gynecology CurrentSince Nov 17, 2011 Accepting new patients
Rochester General Hospital CurrentSince Nov 25, 2022 Accepting new patients
Rochester General Hospital Obstetrics & Gynecology Current Accepting new patients
Rochester General Hospital Obstetrics & Gynecology CurrentSince Nov 25, 2022 Accepting new patients

Locations

229 Parrish St
Ste 200
Canandaigua, NY 14424
Phone (585) 377-5420

43 Willow Pond Way
Ste 200
Penfield, NY 14526
Phone (585) 377-5420

1415 Portland Ave
Rochester, NY 14621
Phone (585) 275-7741

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Interoperability endpoints

  • Direct secure messaging: drandreadelatorre@penfieldobgyn.medentdirect.com
  • Direct secure messaging: mdelatorre58065@direct.rochesterregional.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1679721567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WILLOW POND WAY",
            "address_2": "SUITE 200",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262638",
            "telephone_number": "585-377-5420",
            "fax_number": "585-377-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 WILLOW POND WAY",
            "address_2": "SUITE 200",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262638",
            "telephone_number": "585-377-5420",
            "fax_number": "585-377-3690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 Parrish St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Canandaigua",
            "state": "NY",
            "postal_code": "144241791",
            "country_code": "US",
            "telephone_number": "585-377-5420",
            "fax_number": "585-377-3690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELA TORRE",
        "first_name": "MARY ANDREA",
        "middle_name": "SANTIAGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "267564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

Verify at the official NPI Registry.