Gina M Gazdak, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F305097-1 Issued in NY

Practice address

3023 Route 60
Greenhurst, NY 14742-0400

Phone

(716) 488-5000

NPI assigned

Oct 19, 2005

Last updated

Apr 6, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pennsylvania Department of Human ServicesGroup PAC ID 0547168064, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pennsylvania Department of Human Services

  • Psychiatric Hospital
  • North Warren, PA
  • NPI 1790768471
  Medicare reassignment Care Compare group NPD
• Regional Health Services Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1174520654
  Medicare reassignment NPD
• Pennsylvania Department of Public Welfare

  dba Allentown State Hospital

  • Psychiatric Hospital
  • Allentown, PA
  • NPI 1386626919
  NPD
• Family Health Medical Services PLLC

  • Family Medicine Physician
  • Jamestown, NY
  • NPI 1619072204
  NPD (past)
• Gerry Homes Inc

  dba Heritage Green Rehab & Skilled Nursing

  • Skilled Nursing Facility
  • Greenhurst, NY
  • NPI 1003812330
  NPD (past)
• Gerry Homes Inc

  dba Heritage Park Rehab & Skilled Nursing

  • Skilled Nursing Facility
  • Jamestown, NY
  • NPI 1366448706
  NPD (past)
• Wound Healing Solutions LLC

  • Adult Health Nurse Practitioner
  • Barrington, NJ
  • NPI 1225069966
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1154310407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "GREENHURST",
            "state": "NY",
            "postal_code": "147420400",
            "telephone_number": "716-488-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 ROUTE 60",
            "city": "GREENHURST",
            "state": "NY",
            "postal_code": "147420400",
            "telephone_number": "716-488-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZDAK",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305097-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nissa Bland, RN
• Karen I Bower, PT
• Gerry Homes Inc (Heritage Green Rehab & Skilled Nursing)
• Gerry Homes Inc (Heritage Green Outpatient Therapy Clinic)
• Heritage Green Health Care Center
• Alyssa J Johnson
• Amy Sue Koers, ANP-BC

• Adult Health Nurse Practitioner in Greenhurst, NY
• Providers in Greenhurst, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.