Individual provider Active NPI

Jamie C Interlichia, PA-C

  • Medical Physician Assistant
  • Buffalo, NY
National Provider Identifier
1124278841
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
012866 Issued in NY
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

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090304000166 NY Practitioner - Physician Assistant 7416013263 Reassigns benefits to 5 organizations

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
Physician Mobile Medical Care PCGroup PAC ID 8426575325, 97 clinicians
Mobile Physician Services PLLCGroup PAC ID 8325360290, 104 clinicians
Roswell Park Cancer InstituteGroup PAC ID 3577475110, 487 clinicians

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 Hospital, Buffalo, NY, CCN 330078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012866NYMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Physician Services PLLC CurrentSince Jan 6, 2026 Accepting new patients
Roswell Park Cancer Institute CurrentSince Mar 10, 2022 Accepting new patients
Physician Mobile Medical Care PC CurrentSince Jan 6, 2026 Accepting new patients
Roswell Park Cancer Institute CurrentSince Mar 10, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.