Active NPI
Melanie J Marien, RPA C
- Surgical Physician Assistant
- Williamsville, NY
National Provider Identifier
1851377154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 006802 1
- Practice address
- 180 Park Club LN
Ste 100
Williamsville, NY 14221-5263 - Phone
- (716) 839-9402
- Fax
- (716) 839-3570
- NPI assigned
- Dec 19, 2005
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 006802 1 | NY | Primary |
Addresses
Primary practice location
180 Park Club LN
Ste 100
Williamsville, NY 14221-5263
Mailing address
550 Orchard Park Rd
Ste A105
West Seneca, NY 14224-2646
Phone (716) 677-6000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00026522501 | Other | UNIVERA HEALTHCARE | |
| 9511989 | Other | NY | INDEPENDENT HEALTH |
| 02107399 | Medicaid | NY | |
| 000570154002 | Other | NY | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802 | NY | MD | Optician |
| 006802 1 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Neurosurgery PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- West Seneca, NY
- NPI 1841278496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1851377154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 ORCHARD PARK RD",
"address_2": "STE A105",
"city": "WEST SENECA",
"state": "NY",
"postal_code": "142242646",
"telephone_number": "716-677-6000",
"fax_number": "716-677-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 PARK CLUB LN",
"address_2": "STE 100",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215263",
"telephone_number": "716-839-9402",
"fax_number": "716-839-3570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIEN",
"first_name": "MELANIE",
"middle_name": "J",
"credential": "RPA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NY",
"license": "006802 1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA HEALTHCARE",
"identifier": "00026522501",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "9511989",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02107399",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000570154002",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.