Organization Active NPI

Maria Rita Andaya MD PLLC

  • Internal Medicine Physician
  • Lackawanna, NY
National Provider Identifier
1922233477
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MARIA RITA ANDAYA MD PLLC
Practice address
15 Melroy Ave
Lackawanna, NY 14218-1626
Phone
(716) 821-0170
Fax
(716) 821-0568
NPI assigned
May 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Authorized official

Name
Maria Rita Andaya, M.D.
Title
Owner
Phone
(716) 549-4724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

15 Melroy Ave
Lackawanna, NY 14218-1626

Mailing address

1344 McKinley Pkwy
Lackawanna, NY 14218-1643
Phone (716) 549-4724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090616000083 NY Part B Supplier - Clinic/Group Practice 5991855876 Receives reassigned benefits from 3 practitioners
Practice locations: Buffalo, NY; Lackawanna, NY

National Provider Directory

National Provider Directory

Locations

286 N Main St
Angola, NY 14006
Phone (716) 549-4724

15 Melroy Ave
Lackawanna, NY 14218
Phone (716) 549-4724

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1922233477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 MCKINLEY PKWY",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181643",
            "telephone_number": "716-549-4724",
            "fax_number": "716-549-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MELROY AVE",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181626",
            "telephone_number": "716-821-0170",
            "fax_number": "716-821-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA RITA ANDAYA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "ANDAYA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "RITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-549-4724",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackawanna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.