Active NPI
Jamie C Interlichia, PA-C
- Medical Physician Assistant
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 012866
- Practice address
- 2157 Main St
Buffalo, NY 14214-2648 - Phone
- (716) 862-1000
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 012866 | NY | Primary |
Addresses
Primary practice location
2157 Main St
Buffalo, NY 14214-2648
Mailing address
Elm and Carlton St
Buffalo, NY 14263
Phone (716) 845-2300
Other practice location 1
Elm and Carlton St
Buffalo, NY 14263
Phone (716) 845-2300
Other names 1
- Ms. Jamie C Czarnecki
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Buffalo, NY 14202
Phone (716) 893-1010
40 La Riviere Dr
Suite 201
Buffalo, NY 14202-4036
Phone 7168931010210
Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300
Hospital & facility affiliations
- Sisters of Charity Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012866 | NY | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Physician Services PLLC | Current | Accepting new patients | |
| Roswell Park Cancer Institute | Current | Accepting new patients | |
| Physician Mobile Medical Care PC | Current | Accepting new patients | |
| Roswell Park Cancer Institute | Current | Accepting new patients | |
| Bimc Faculty Practice | Physician Assistant | Past | Accepting new patients |
Locations
Dept 8000
Buffalo, NY 14267
40 La Riviere Dr
Ste 201
Buffalo, NY 14202
Phone 7168931010210
Elm and Carlton St
Buffalo, NY 14263
2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501
40 La Riviere Dr
Ste 201A
Buffalo, NY 14202
Phone 7168931010221
2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315
5775 Maelou Dr
Hamburg, NY 14075
Phone (716) 648-2820
4650 Southwestern Blvd
Hamburg, NY 14075
Phone (716) 648-2450
Interoperability endpoints
- jinterlichia@gppc.medentdirect.com
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Buffalo, NY
- NPI 1194132415
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1518765502
-
- Multi-Specialty Clinic/Center
- Buffalo, NY
- NPI 1720036593
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1508816521
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
- Pharmacy
- Williamsville, NY
- NPI 1871379586
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1124278841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ELM AND CARLTON ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14263",
"telephone_number": "716-845-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2157 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142142648",
"telephone_number": "716-862-1000"
}
],
"practiceLocations": [
{
"address_1": "Elm and Carlton St",
"address_purpose": "LOCATION",
"city": "Buffalo",
"state": "NY",
"postal_code": "14263",
"country_code": "US",
"telephone_number": "716-845-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "INTERLICHIA",
"first_name": "JAMIE",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "012866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "CZARNECKI",
"middle_name": "C",
"prefix": "MS.",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
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 13, 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.