Individual provider Active NPI

Denise Gozdziak, LPN

  • Licensed Practical Nurse
  • Buffalo, NY
National Provider Identifier
1063699551
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
287219 Issued in NY
Practice address
1680 Walden Ave
Buffalo, NY 14225-4914
Phone
(716) 894-7777
Fax
(716) 894-0604
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 287219 NY Primary

Addresses

Primary practice location

1680 Walden Ave
Buffalo, NY 14225-4914

Mailing address

277 Babcock St
Upper
Buffalo, NY 14210-1540
Phone (716) 563-6226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
287219NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Aftercare Nursing Services, Inc. Past Accepting new patients
Aftercare Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1063699551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 BABCOCK ST",
            "address_2": "UPPER",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101540",
            "telephone_number": "716-563-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 WALDEN AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142254914",
            "telephone_number": "716-894-7777",
            "fax_number": "716-894-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZDZIAK",
        "first_name": "DENISE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "287219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.