Tiffany Teresa Kalisz, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3450 Union Rd
Cheektowaga, NY 14225-5120

Phone

(716) 395-2043

NPI assigned

Sep 9, 2020

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

Electronic endpoints 6

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western New York Immediate Medical Care LLCGroup PAC ID 9537105283, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Western New York Immediate Medical Care LLC

  • Urgent Care Clinic/Center
  • Williamsville, NY
  • NPI 1316014491
  Medicare reassignment Care Compare group
• Wellnow Urgent Care, PC

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  Medicare reassignment
• Western New York Immediate Medical Care LLC

  • Emergency Medicine Physician
  • Orchard Park, NY
  • NPI 1427224625
  NPD
• Wellnow Urgent Care, PC

  • Urgent Care Clinic/Center
  • Jamestown, NY
  • NPI 1770850224
  NPD (past)

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1053926808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 LAWNWOOD DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281603",
            "telephone_number": "716-946-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 UNION RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142255120",
            "telephone_number": "716-395-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALISZ",
        "first_name": "TIFFANY",
        "middle_name": "TERESA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kalisztiffany",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "78 Lawnwood Dr",
            "city": "Amherst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142281603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "kalisztiffany",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "78 Lawnwood Dr",
            "city": "Amherst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142281603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kalisztiffany",
            "affiliation": "N",
            "address_1": "78 Lawnwood Dr",
            "city": "Amherst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142281603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kalisztiffany",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "78 Lawnwood Dr",
            "city": "Amherst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142281603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "kalisztiffany",
            "affiliation": "N",
            "address_1": "78 Lawnwood Dr",
            "city": "Amherst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142281603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "kalisztiffany",
            "affiliation": "N",
            "address_1": "78 Lawnwood Dr",
            "city": "Amherst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142281603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa M Kaczorowski
• Brenda Lynn Kahn, CRNA
• K Tankut Kahraman, RPH
• Erica Janean Kaiser, LMT
• Jessica Kaiser
• Hannah Eve Kalmeyer, MSW
• Eugene James Kalmuk Jr., MD
• Tejinder Kalra, MD
• Sanjay D Kamat, D.O.
• Thomas M Kaminska, OD

• Physician Assistant in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.

Verify at the official NPI Registry.