Active NPI
Mary Catherine Kauderer, M.D.
- Physical Medicine & Rehabilitation Physician
- Williamsville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 250805-1
- Practice address
- 325 Essjay Rd
Williamsville, NY 14221-8243 - Phone
- (716) 630-1290
- Fax
- (716) 250-5994
- NPI assigned
- May 13, 2009
- Last updated
- Oct 23, 2019
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 250805-1 | NY | Primary |
Addresses
Primary practice location
325 Essjay Rd
Williamsville, NY 14221-8243
Mailing address
425 Essjay Rd Ste 170
Williamsville, NY 14221-8235
Phone (716) 630-1219
Other practice location 1
3900 N. Buffalo Road
Orchard Park, NY 14127
Phone (716) 630-1290
Other names 1
- Dr. Mary Catherine Berowski
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250805-1 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaleida Health | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients | |
| Buffalo Medical Group, P.C. | Current | Accepting new patients | |
| Buffalo Medical Group, P.C. | Current | Accepting new patients | |
| Kaleida Health | Current | Accepting new patients |
Locations
100 High St
#13282
Buffalo, NY 14203
1170 Main St
Buffalo, NY 14209
Phone (716) 882-1025
85 High St
Buffalo, NY 14203
Phone (716) 857-8623
445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291
295 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1050
325 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1102
425 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1219
425 Essjay Rd
Ste 170
Williamsville, NY 14221
Phone (716) 630-1219
6255 Sheridan Dr
Ste 304
Williamsville, NY 14221
Phone (716) 857-8666
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.
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1881659506
-
- Durable Medical Equipment & Medical Supplies
- Lockport, NY
- NPI 1982566782
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1427007046
-
dba Kaleida Health Outpatient Pharmacy
- Community/Retail Pharmacy
- Buffalo, NY
- NPI 1992540546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1720212277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ESSJAY RD STE 170",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218235",
"telephone_number": "716-630-1219",
"fax_number": "716-817-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 ESSJAY RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218243",
"telephone_number": "716-630-1290",
"fax_number": "716-250-5994"
}
],
"practiceLocations": [
{
"address_1": "3900 N. Buffalo Road",
"address_purpose": "LOCATION",
"city": "Orchard Park",
"state": "NY",
"postal_code": "14127",
"country_code": "US",
"telephone_number": "716-630-1290",
"fax_number": "716-250-5994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUDERER",
"first_name": "MARY",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-13",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "250805-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "BEROWSKI",
"middle_name": "CATHERINE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.