Individual provider Active NPI

Maggie N Garland, RPA-C

  • Medical Physician Assistant
  • East Syracuse, NY
National Provider Identifier
1225056609
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
010599 Issued in NY
Practice address
5823 Widewaters Pkwy Ste 4
East Syracuse, NY 13057-3081
Phone
(315) 500-7546
Fax
(315) 378-4210
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 010599 NY
Surgical Physician Assistant 363AS0400X 010599 NY
Medical Physician Assistant 363AM0700X 010599 NY Primary

Addresses

Primary practice location

5823 Widewaters Pkwy Ste 4
East Syracuse, NY 13057-3081

Mailing address

5823 Widewaters Pkwy Ste 4
East Syracuse, NY 13057-3081
Phone (315) 500-7546

Other practice location 1

5301 W Genesee St Ste 225
Camillus, NY 13031-2261
Phone (315) 500-7546

Other names 1

  • Maggie N Prioletti 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
I20050819000276 NY Practitioner - Physician Assistant 2860422789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Dermatology PLLCGroup PAC ID 9234417452, 14 clinicians

Practice addresses (Care Compare)

5823 Widewaters Pkwy
Suite 4
East Syracuse, NY 13057-3081
Phone (315) 500-7546

Merit-based Incentive Payment System (MIPS)

Final score
81.8 of 100Reported as group
Quality
70
Promoting interoperability
97
Improvement activities
40
Cost
71.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010599NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Imperium Healthcare Consulting LLC CurrentSince May 28, 2023 Accepting new patients
Cayuga Medical Associates, PC PastSince Jan 1, 2021 Accepting new patients

Locations

5823 Widewaters Pkwy
Ste 4
East Syracuse, NY 13057
Phone (315) 278-5049

Organizations & group practices 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1225056609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 WIDEWATERS PKWY STE 4",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130573081",
            "telephone_number": "315-500-7546",
            "fax_number": "315-378-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 WIDEWATERS PKWY STE 4",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130573081",
            "telephone_number": "315-500-7546",
            "fax_number": "315-378-4210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 W Genesee St Ste 225",
            "address_purpose": "LOCATION",
            "city": "Camillus",
            "state": "NY",
            "postal_code": "130312261",
            "country_code": "US",
            "telephone_number": "315-500-7546",
            "fax_number": "315-378-4210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARLAND",
        "first_name": "MAGGIE",
        "middle_name": "N",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010599",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "010599",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "PRIOLETTI",
            "middle_name": "N",
            "credential": "RPA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.