Colleen A Angielczyk, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001747-1 Issued in NY

Practice address

7531 Seneca St
East Aurora, NY 14052-9407

Phone

(716) 655-5019

Fax

(716) 655-1567

NPI assigned

Jul 29, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• John P. Ward

  • Family Medicine Physician
  • East Aurora, NY
  • NPI 1902093800
  NPD
• Buffalo Medical Group, P.C.

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1881659506
  NPD (past)
• Buffalo Synapse Support, LLC

  • Electroneurodiagnostic Specialist/Technologist
  • East Aurora, NY
  • NPI 1578833323
  NPD (past)
• Kevin B. Kulick M.D.,P.C.

  • Dermatology Physician
  • Buffalo, NY
  • NPI 1619935301
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1306850672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7531 SENECA ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140529407",
            "telephone_number": "716-655-5019",
            "fax_number": "716-655-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7531 SENECA ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140529407",
            "telephone_number": "716-655-5019",
            "fax_number": "716-655-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGIELCZYK",
        "first_name": "COLLEEN",
        "middle_name": "A",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "001747-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020029302",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "9512978",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTLH NOW",
            "identifier": "000570158005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVA",
            "identifier": "161000580",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Charles Alberstadt, RN
• Laurie T Alexander, C.N.P.
• Rebecca Anne Almond, R.PH.
• Shawna Leigh Alt
• Linda Moden Andrews, RPH
• Ans Optometry, PLLC
• Camille Lauren Arth Boccio, LCSW
• Aurora Adult Day Care Center
• Aurora Audiology & Speech Associates, Inc.
• Aurora Dental Care

• Medical Physician Assistant in East Aurora, NY
• Providers in East Aurora, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.