Mary Martha Barrett, M.D.
Individual provider Active NPI Dermatopathology (Pathology) Physician · Victor, NY
NPI 1871883371 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1871883371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatopathology (Pathology) Physician 207ZD0900X
- License
- 279926 (NY)
- Practice address
- 1650 Murray Rd
Victor, NY 14564-9144 - Phone
- (518) 860-9913
- NPI assigned
- Apr 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160607001816 | NY | Practitioner - Pathology |
4082904875 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279926 | NY | MD | Licensed Practical Nurse |
| 213246 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Unity Hospital of Rochester | Current |
Accepting new patients | |
| Newark Wayne Community Hospital | Current |
Accepting new patients | |
| Canton-Potsdam Hospital | Current |
Accepting new patients | |
| Newark Wayne Community Hospital | Current |
Accepting new patients | |
| The Unity Hospital of Rochester | Current |
Accepting new patients | |
| United Memorial Medical Center | Current | Accepting new patients | |
| United Memorial Medical Center | Internal Medicine | Current |
Accepting new patients |
| Clifton Springs Sanitarium Co | Current |
Accepting new patients | |
| Highland Hospital of Rochester | Current |
Accepting new patients | |
| Highland Hospital of Rochester | Current |
Accepting new patients | |
| Canton-Potsdam Hospital | Current |
Accepting new patients |
Locations
470 Collins St
Avon, NY 14414
Phone (585) 226-2640
229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440
127 North St
Batavia, NY 14020
Phone (585) 267-7510
2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472
1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 213246 | NY | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 279926 | NY | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 279926 | NY | Yes |
Addresses
Primary practice location
1650 Murray Rd
Victor, NY 14564-9144
Mailing address
1650 Murray Rd
Victor, NY 14564-9144
Phone (518) 860-9913
Other providers in Victor, NY
- Meghan Joan Barclay
- Robin Elizabeth O'Neill Barclay
- Barbara Barnett
- Tammy Leigh Barnum
- Josephine Barrett
- Meghan Barrett
- Heather L Baxter
- Jennifer Kathleen Baxter
- Ali B Beck
- Jacqueline Becker
All providers in Victor, NY · Dermatopathology (Pathology) Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.