Gianna of Syracuse Medical PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GIANNA OF SYRACUSE MEDICAL PLLC

Practice address

1880 E Ridge Rd Ste 8
Rochester, NY 14622-2450

Phone

(585) 310-8787

NPI assigned

Mar 3, 2020

Organization subpart

No

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

Authorized official

Name

Angela Kristan, MDNPI 1518386226

Title

Owner

Phone

(405) 640-5576

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Restore Health and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Kristan

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1518386226
  Medicare reassignment NPD Authorized official
• Noah Gomez, MD

  • Obstetrics & Gynecology Physician
  • Fairfax, VA
  • NPI 1205416146

  NY

  Medicare reassignment NPD (past)
• Pamela Salzmann, D.O.

  • Pediatrics Physician
  • Hornell, NY
  • NPI 1932108149
  NPD (past)

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1104451848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 EAST UNION ST.",
            "address_2": "#9201",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191919",
            "telephone_number": "585-310-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 E RIDGE RD STE 8",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222450",
            "telephone_number": "585-310-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 East Union St.",
            "address_2": "#9201",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132191919",
            "country_code": "US",
            "telephone_number": "585-310-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GIANNA OF SYRACUSE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "KRISTAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-640-5576",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05240455",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restore Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restore Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert M. Giambrone, M.D.
• Ellen Joan Giampoli, M.D.
• Louis M Gianakakis, M.D.
• Sara Elizabeth Gianfagna, DO
• Joseph Giangreco, DO
• Camille Monica Giannelli
• Bryanna Giannetto, PHARMD
• Rachel Gianni, DC
• Abigail Gianniny, LMHC
• Kerrie Gianvecchio, LCSW

• Family Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.