Active NPI
Mary T Delang, M.D.
- Pediatrics Physician
- Olean, NY
National Provider Identifier
1861449803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 187190
- Practice address
- 135 N Union St
Olean, NY 14760-2736 - Phone
- (716) 375-7500
- Fax
- (716) 701-6854
- NPI assigned
- May 27, 2006
- Last updated
- Feb 28, 2018
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 187190 | NY | Primary |
Addresses
Primary practice location
135 N Union St
Olean, NY 14760-2736
Mailing address
135 N Union St
Olean, NY 14760-2736
Phone (716) 375-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01272802 | Medicaid | NY |
Other names 1
- Dr. M. Therese Mastrucci
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 187190 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fredericksburg Christian Health Center | Past | Accepting new patients | |
| Goldwyn & Boyland Physical Therapy PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Cortland, NY
- NPI 1659576296
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1639222359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1861449803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 N UNION ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147602736",
"telephone_number": "716-375-7500",
"fax_number": "716-701-6854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N UNION ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147602736",
"telephone_number": "716-375-7500",
"fax_number": "716-701-6854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELANG",
"first_name": "MARY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "187190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01272802",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "M.",
"last_name": "MASTRUCCI",
"middle_name": "THERESE",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Olean, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.