Individual provider Active NPI

Toni Marie Ventrilla, RPA-C

  • Surgical Physician Assistant
  • Buffalo, NY
National Provider Identifier
1841631389
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
23016672 Issued in NY
Practice address
515 Abbott Rd
Marian Professional BLDG. Ste. 101
Buffalo, NY 14220-1700
Phone
(716) 923-9650
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 23016672 NY Primary

Addresses

Primary practice location

515 Abbott Rd
Marian Professional BLDG. Ste. 101
Buffalo, NY 14220-1700

Mailing address

515 Abbott Rd
Marian Professional BLDG. Ste. 101
Buffalo, NY 14220-1700
Phone (716) 923-9650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
016672NYMDSpeech-Language Pathologist
23016672NYMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1841631389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 ABBOTT RD",
            "address_2": "MARIAN PROFESSIONAL BLDG. STE. 101",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201700",
            "telephone_number": "716-923-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ABBOTT RD",
            "address_2": "MARIAN PROFESSIONAL BLDG. STE. 101",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201700",
            "telephone_number": "716-923-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTRILLA",
        "first_name": "TONI",
        "middle_name": "MARIE",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "23016672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.