Individual provider Active NPI

Marcelle Grassi, MD

  • Dermatology Physician
  • Cheektowaga, NY
National Provider Identifier
1881690915
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
183972 Issued in NY
Practice address
2560 Walden Ave
Suite 107
Cheektowaga, NY 14225-4757
Phone
(716) 651-0726
Fax
(716) 651-0729
NPI assigned
Jun 23, 2005
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 183972 NY Primary

Addresses

Primary practice location

2560 Walden Ave
Suite 107
Cheektowaga, NY 14225-4757

Mailing address

2560 Walden Ave
Suite 107
Cheektowaga, NY 14225-4757
Phone (716) 651-0726

Other practice location 1

Elm and Carlton Streets
Buffalo, NY 14263-1462
Phone (716) 845-2300

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070508000464 NY Practitioner - Dermatology 1355447327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rpci Oncology, PCGroup PAC ID 3870731029, 62 clinicians
Roswell Park Cancer InstituteGroup PAC ID 3577475110, 487 clinicians

Practice addresses (Care Compare)

199 Park Club LN
Williamsville, NY 14221-5269

2560 Walden Ave
Suite 107
Cheektowaga, NY 14225-4757
Phone (716) 651-0726

3041 Orchard Park Rd
Suite C
Orchard Park, NY 14127-1238
Phone (716) 674-3104

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions812
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saif Soniwala,M.D.,PC Current Accepting new patients
Roswell Park Cancer Institute CurrentSince Jan 6, 2021 Accepting new patients
Roswell Park Cancer Institute CurrentSince Jan 6, 2021 Accepting new patients
Rpci Oncology PC Dermatology CurrentSince Nov 1, 2023 Accepting new patients

Locations

Dept 8000
Buffalo, NY 14267

Elm and Carlton St
Buffalo, NY 14263

2560 Walden Ave
Ste 107
Cheektowaga, NY 14225
Phone (716) 651-0726

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

199 Park Club Ln
Ste 200
Williamsville, NY 14221
Phone (716) 634-3340

Interoperability endpoints

  • Direct secure messaging: mgrassi@breastcarewny.medentdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1881690915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 WALDEN AVE",
            "address_2": "SUITE 107",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254757",
            "telephone_number": "716-651-0726",
            "fax_number": "716-651-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 WALDEN AVE",
            "address_2": "SUITE 107",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254757",
            "telephone_number": "716-651-0726",
            "fax_number": "716-651-0729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Elm and Carlton Streets",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142631462",
            "country_code": "US",
            "telephone_number": "716-845-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRASSI",
        "first_name": "MARCELLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "183972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.