Michael J Maggiulli (NPI# 1114015633, PAC ID# 9133394018) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1114015633 |
PAC ID by PECOS | 9133394018 |
Professional Enrollment ID | I20111205000018 |
Full Name | Michael J Maggiulli |
Organization Legal Name | UNITED MEMORIAL MEDICAL CENTER |
Address |
6966 W Bergen Rd Bergen NY 14416-9743 |
Phone Number | 5854941300 |
Gender | M |
Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
Graduation Year | 1977 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 0547259376 |
Number of Group Practice Members | 124 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330073 | UNITED MEMORIAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
6966 W Bergen Rd, Bergen, NY 14416-9743 | 5854941300 | UNITED MEMORIAL MEDICAL CENTER |
Organization Legal Name | UNITED MEMORIAL MEDICAL CENTER |
Physicians | 96 |
Name | Specialty | Organization | Address |
---|---|---|---|
Allison S Pieri | Physician Assistant | United Memorial Medical Center | 3 Handley St, Perry, NY 14530-1342 |
Denisa Slova | Pathology | United Memorial Medical Center | 127 N St, Batavia, NY 14020-1631 |
Nitin Arora | Family Medicine | United Memorial Medical Center | 107 Prospect St, Attica, NY 14011-1149 |
Frederick L Wagner | Physician Assistant | United Memorial Medical Center | 11225 Maple Ridge Rd, Medina, NY 14103-1845 |
David M Newman | Family Medicine | United Memorial Medical Center | 16 Bank St, Batavia, NY 14020-2250 |
Scott A Treutlein | Obstetrics/gynecology | United Memorial Medical Center | 33 Chandler Ave, Batavia, NY 14020-1684 |
Erik P Peterson | Emergency Medicine | United Memorial Medical Center | 127 N St, 2nd, Batavia, NY 14020-1631 |
Zuzanna M Rozmus | Family Medicine | United Memorial Medical Center | 229 Summit St, Suite 1, Batavia, NY 14020-1645 |
Michael F Pope | Nurse Practitioner | United Memorial Medical Center | 127 N St, Batavia, NY 14020-1631 |
Eric Ten Brock | Pulmonary Disease | United Memorial Medical Center | 127 N St, Batavia, NY 14020-1631 |
Street Address |
6966 W BERGEN RD |
City | BERGEN |
State | NY |
Zip | 14416-9743 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kati Sisson | Nurse Practitioner | United Memorial Medical Center | 6966 W Bergen Rd, Bergen, NY 14416-9743 |
Jennifer A Wheeler | Family Medicine | United Memorial Medical Center | 6966 W Bergen Rd, Bergen, NY 14416-9743 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy P Mercovich | Chiropractic | 45 N Lake Ave, Bergen, NY 14416-9528 | |
Derek R Barclay | Physical Therapy | Pivot Acupuncture and Physical Therapy Pllc | 12 Buffalo St, Bergen, NY 14416-9766 |
City | BERGEN |
Zip Code | 14416 |
Specialty | FAMILY MEDICINE |
City + Specialty | BERGEN + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.