Active NPI
Maggie N Garland, RPA-C
- Medical Physician Assistant
- East Syracuse, NY
National Provider Identifier
1225056609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 010599
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 010599 | NY | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperium Healthcare Consulting LLC | Current | Accepting new patients | |
| Cayuga Medical Associates, PC | Past | 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.
-
- MOHS-Micrographic Surgery Physician
- East Syracuse, NY
- NPI 1336698406
-
- Durable Medical Equipment & Medical Supplies
- East Syracuse, NY
- NPI 1184335887
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.