Maura Elizabeth Evanco, M.S., ED

Primary specialty

SpecialistTaxonomy code 174400000X

License

797439131 Issued in NY

Practice address

2049 George Urban Blvd
Depew, NY 14043-1823

Phone

(716) 901-8700

Fax

(716) 901-8800

NPI assigned

Sep 2, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cantalician Center for Learning, Inc.

  • Early Intervention Provider Agency
  • Depew, NY
  • NPI 1174789242
  NPD (past)

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1992173348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 GEORGE URBAN BLVD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431823",
            "telephone_number": "716-901-8700",
            "fax_number": "716-901-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 GEORGE URBAN BLVD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431823",
            "telephone_number": "716-901-8700",
            "fax_number": "716-901-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANCO",
        "first_name": "MAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.S., ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "797439131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dilafruz Usman Elnasser, AGPN-C
• Kimberly A Emminger, LMHC CASAC
• Mary Emminger
• Allison Jean Englert
• Kyle Patrick Esposito
• Kerrie Evans
• Eye Care Professionals of Western New York, LLP
• Daniela Falca
• Family Choice of New York Medical PC
• Charmaine Ann Fanara, LCSW

• Specialist in Depew, NY
• Providers in Depew, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.