Mary Sciarrino Nicolais

Primary specialty

DentistTaxonomy code 122300000X

License

373791 Issued in NY

Practice address

3150 Erie Blvd East
Dewitt, NY 13214

Phone

(315) 446-7442

Fax

(315) 446-7449

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mary Josephine Sciarrino Professional name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Martin and Winkler DDS PC

  • General Practice Dentistry
  • Syracuse, NY
  • NPI 1467582247
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770601718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ERIE BLVD EAST",
            "city": "DEWITT",
            "state": "NY",
            "postal_code": "13214",
            "telephone_number": "315-446-7442",
            "fax_number": "315-446-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ERIE BLVD EAST",
            "city": "DEWITT",
            "state": "NY",
            "postal_code": "13214",
            "telephone_number": "315-446-7442",
            "fax_number": "315-446-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLAIS",
        "first_name": "MARY",
        "middle_name": "SCIARRINO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "373791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SCIARRINO",
            "middle_name": "JOSEPHINE",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Rebecca Ann Sleeper, RN FNP

• All providers in Dewitt, NY
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.