Individual provider Active NPI

Mary Kate Murray

  • Family Nurse Practitioner
  • Orchard Park, NY
National Provider Identifier
1811496144
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F342496-1 Issued in NY
Practice address
310 Sterling Dr.
Suite 105
Orchard Park, NY 14127
Phone
(716) 677-9220
Fax
(716) 677-9226
NPI assigned
Feb 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F342496-01 NY
Family Nurse Practitioner 363LF0000X F342496-1 NY Primary

Addresses

Primary practice location

310 Sterling Dr.
Suite 105
Orchard Park, NY 14127

Mailing address

310 Sterling Dr.
Suite 105
Orchard Park, NY 14127
Phone (716) 677-9220

Other names 1

  • Mary Kate Maloney Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180329000296 NY Practitioner - Nurse Practitioner 7315209434 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F342496-01NYMDFamily Nurse Practitioner
F342496-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southtowns Gastroenterology, PLLC CurrentSince Mar 25, 2019 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Mar 12, 2018 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Current Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Mar 12, 2018 Accepting new patients
Buffalo Medical Group, P.C. CurrentSince Mar 12, 2018 Accepting new patients
Mercy Hospital of Buffalo CurrentSince May 19, 2018 Accepting new patients
Mercy Hospital of Buffalo CurrentSince May 19, 2018 Accepting new patients

Locations

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

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

310 Sterling Dr
Orchard Park, NY 14127
Phone (716) 677-6800

310 Sterling Dr
Ste 105
Orchard Park, NY 14127
Phone (716) 675-7730

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1811496144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 STERLING DR.",
            "address_2": "SUITE 105",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-677-9220",
            "fax_number": "716-677-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STERLING DR.",
            "address_2": "SUITE 105",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "14127",
            "telephone_number": "716-677-9220",
            "fax_number": "716-677-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "MARY KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2024-06-11",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342496-01",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F342496-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY KATE",
            "last_name": "MALONEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.