Active NPI
Mark Turoldo, PA
- Physician Assistant
- Orchard Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 018770
- Practice address
- 3085 Southwestern Blvd
Suite 204
Orchard Park, NY 14127-1232 - Phone
- (716) 677-2575
- NPI assigned
- Jul 20, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 018770 | NY | Primary |
Addresses
Primary practice location
3085 Southwestern Blvd
Suite 204
Orchard Park, NY 14127-1232
Mailing address
3085 Southwestern Blvd
Suite 204
Orchard Park, NY 14127-1232
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1751 Sheridan Dr
Tonawanda, NY 14223-1211
Phone (716) 844-7100
4827 Transit Rd
Depew, NY 14043-4788
Phone (716) 771-3394
7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018770 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ub Family Medicine, Inc | Current | Accepting new patients | |
| FDR Medical Services P.C. | Past | Accepting new patients | |
| Advanced Care Physical Therapy Aquatics and Fitness PC | Past | Accepting new patients |
Locations
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
- Emergency Medicine Physician
- Buffalo, NY
- NPI 1972540482
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1942294467
-
- Physical Therapist
- Niagara Falls, NY
- NPI 1891883385
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1528081809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1750765772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3085 SOUTHWESTERN BLVD",
"address_2": "SUITE 204",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3085 SOUTHWESTERN BLVD",
"address_2": "SUITE 204",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271232",
"telephone_number": "716-677-2575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUROLDO",
"first_name": "MARK",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-20",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "018770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.