Organization Active NPI

Rheumatology Wellness Care of Wny, PLLC

  • Medical Specialty Clinic/Center
  • Cheektowaga, NY
National Provider Identifier
1992161582
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A188049-1 Issued in NY
Legal business name
RHEUMATOLOGY WELLNESS CARE OF WNY, PLLC
Practice address
20 Losson Rd
Suite 100
Cheektowaga, NY 14227-2394
Phone
(716) 898-0755
Fax
(716) 898-0775
NPI assigned
Jan 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Dr. Mary Margaret O'Neil, MDNPI 1598790818
Title
Owner
Phone
(716) 898-0755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A188049-1 NY Primary

Addresses

Primary practice location

20 Losson Rd
Suite 100
Cheektowaga, NY 14227-2394

Mailing address

20 Losson Rd
Suite 100
Cheektowaga, NY 14227-2394
Phone (716) 898-0755

Other identifiers 1

IdentifierTypeStateIssuer
01885107MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160216000460 NY Part B Supplier - Clinic/Group Practice 4688978471 Receives reassigned benefits from 5 practitioners
Practice locations: Cheektowaga, NY

National Provider Directory

National Provider Directory

Locations

20 Losson Rd
Ste 100
Cheektowaga, NY 14227
Phone (716) 898-0755

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": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1992161582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LOSSON RD",
            "address_2": "SUITE 100",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142272394",
            "telephone_number": "716-898-0755",
            "fax_number": "716-898-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LOSSON RD",
            "address_2": "SUITE 100",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142272394",
            "telephone_number": "716-898-0755",
            "fax_number": "716-898-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY WELLNESS CARE OF WNY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "O'NEIL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-898-0755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "A188049-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01885107",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.