DR. MARY ELLEN EMBORSKY DO
NPI 1013192053
Pediatrics - Pediatric Emergency Medicine in Buffalo, NY

Active since January 09, 2008PECOS Enrolled
1001 MAIN ST FL 5, BUFFALO, NY 14203(716) 323-0220(716) 323-0293 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 1, 2022, Dec 31, 2020 (2 updates tracked since 2020).

About Dr. Mary Ellen Emborsky Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY ELLEN EMBORSKY DO (NPI 1013192053) is an individual pediatric emergency medicine provider in Buffalo, New York, licensed in New York (228134) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013192053
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. MARY ELLEN EMBORSKYCredential: DO
Location Address1001 MAIN ST FL 5Buffalo, NY 14203-1009
Mailing Address1001 Main St Fl 5Buffalo, NY 14203-1009 · (716) 323-0220 · Fax (716) 323-0293
Fax(716) 323-0293
Sole ProprietorNo
Enumeration DateJanuary 9, 2008
Last NPPES UpdateSeptember 1, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
NPI 1013192053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License Licensed in NY · 228134
Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

1001 MAIN ST FL 5, Buffalo, NY 14203

Other Identifiers 5

Other000527296001Bc/bs
Other1292496Iha
Other00026388701Univera
Medicaid02396683NY
Other040426003102Fidelis

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mary Ellen Emborsky Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1001 MAIN ST FL 5
BUFFALO, NY 14203
Pediatrics
1001 MAIN ST FL 5
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
1001 MAIN ST FL 5
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
1001 MAIN ST FL 5
BUFFALO, NY 14203
Hospitalist
1001 MAIN ST FL 5
BUFFALO, NY 14203
Pediatrics
1001 MAIN ST FL 5
BUFFALO, NY 14203
Nurse Practitioner
1001 MAIN ST FL 5
BUFFALO, NY 14203
Student in an Organized Health Care Education/Training Program
1001 MAIN ST FL 5
BUFFALO, NY 14203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013192053, enumerated as an "individual" on January 09, 2008.

The provider is located at 1001 MAIN ST FL 5 BUFFALO, NY 14203 and the phone number is (716) 323-0220.

Pediatrics with taxonomy code 2080P0204X and a focus in Pediatric Emergency Medicine.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.