Active NPI
Gloria Kwizera, PA
- Physician Assistant
- Troy, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 022186
- Practice address
- 258 Hoosick St
Troy, NY 12180-2444 - Phone
- (518) 272-2097
- Fax
- (518) 272-6612
- NPI assigned
- Aug 1, 2018
- Last updated
- Jan 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 022186 | NY | Primary |
Addresses
Primary practice location
258 Hoosick St
Troy, NY 12180-2444
Mailing address
449 Route 146 Ste 101
Halfmoon, NY 12065-3239
Phone (518) 373-3800
Other practice location 1
3 Crossing Blvd Ste 1
Clifton Park, NY 12065-4172
Phone (518) 831-4434
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
258 Hoosick St
Suite 206
Troy, NY 12180-2450
Phone (518) 272-2097
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022186 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Oncology Hematology, P.C. | Multi-Specialty | Current | Accepting new patients |
| The Community Hospice, Inc | Multi-Specialty | Past | Accepting new patients |
Locations
43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149
3 Crossing Blvd
Ste 1
Halfmoon, NY 12065
Phone (518) 831-4434
449 Route 146
#101
Halfmoon, NY 12065
Phone (518) 373-3800
69 Prospect Ave
Hudson, NY 12534
Phone (212) 459-8173
896 Riverview Rd
Rexford, NY 12148
Phone (518) 399-4600
258 Hoosick St
Ste 201
Troy, NY 12180
Phone (518) 272-2097
258 Hoosick St
Ste 206
Troy, NY 12180
Phone (518) 272-2097
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- gloria.kwizera.1@24721.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Akira Medical Imaging and Wellness
- Hematology & Oncology Physician
- Albany, NY
- NPI 1609863448
Multi-Specialty
-
dba Palliative Care Partners
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Albany, NY
- NPI 1932434040
Multi-Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
dba Albany Medical Center South Clinical Campus
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1033697040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 ROUTE 146 STE 101",
"city": "HALFMOON",
"state": "NY",
"postal_code": "120653239",
"telephone_number": "518-373-3800",
"fax_number": "518-373-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 HOOSICK ST",
"city": "TROY",
"state": "NY",
"postal_code": "121802444",
"telephone_number": "518-272-2097",
"fax_number": "518-272-6612"
}
],
"practiceLocations": [
{
"address_1": "3 Crossing Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Clifton Park",
"state": "NY",
"postal_code": "120654172",
"country_code": "US",
"telephone_number": "518-831-4434",
"fax_number": "518-831-4435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KWIZERA",
"first_name": "GLORIA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "NY",
"license": "022186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.