Individual provider Active NPI

Jillian Lee Gugino, M.D.

  • Anesthesiology Physician
  • Niagara Falls, NY
National Provider Identifier
1003259052
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
292473 Issued in NY
Practice address
Niagara Falls Memorial Medical Center
621 10TH St
Niagara Falls, NY 14301
Phone
(716) 836-7510
Fax
(716) 832-3540
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 292473 NY Primary
Anesthesiology Physician 207L00000X 125-064315 IL

Addresses

Primary practice location

Niagara Falls Memorial Medical Center
621 10TH St
Niagara Falls, NY 14301

Mailing address

1305 Walt Whitman Rd, Suite 300
Melville, NY 11747
Phone (716) 836-7510

Other names 1

  • Dr. Jillian Lee Kent Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180827002343 NY Practitioner - Anesthesiology 5991088635 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abbott Anesthesiologist Associates PCGroup PAC ID 5991784449, 18 clinicians

Practice addresses (Care Compare)

515 Abbott Rd
Suite 410
Buffalo, NY 14220-1700
Phone (716) 826-6628

Hospital & facility affiliations

  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
292473NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkside Medical Anesthesia Associates Anesthesiology CurrentSince Aug 6, 2018 Accepting new patients
Abbott Anesthesiologist Associates PC CurrentSince Feb 19, 2022 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince May 21, 2023 Accepting new patients

Locations

7 Southwoods Blvd
Ste 4
Albany, NY 12211

3871 Harlem Rd
Ste 202
Buffalo, NY 14215

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

515 Abbott Rd
Ste 410
Buffalo, NY 14220
Phone (716) 826-6628

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1003259052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WALT WHITMAN RD, SUITE 300",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "11747",
            "telephone_number": "716-836-7510",
            "fax_number": "716-832-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NIAGARA FALLS MEMORIAL MEDICAL CENTER",
            "address_2": "621 10TH ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14301",
            "telephone_number": "716-836-7510",
            "fax_number": "716-832-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUGINO",
        "first_name": "JILLIAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2023-10-27",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "292473",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125-064315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "KENT",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.