NPIMap

Individual provider Active NPI

Alexandria Carcyn Galluzzi, PA-C

  • Physician Assistant
  • Williamsville, NY
National Provider Identifier
1316660509
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
028632-01 Issued in NY
Practice address
60 Maple Rd Unit 1
Williamsville, NY 14221-2917
Phone
(716) 626-5250
NPI assigned
Sep 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 028632-01 NY Primary

Addresses

Primary practice location

60 Maple Rd Unit 1
Williamsville, NY 14221-2917

Mailing address

11986 Williston Rd
Marilla, NY 14102-9719
Phone (716) 997-3306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221109001462 NY Practitioner - Physician Assistant 3173990835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates LLPGroup PAC ID 8820048085, 28 clinicians

Practice addresses (Care Compare)

60 Maple Rd
Suite 1
Williamsville, NY 14221-2917
Phone (716) 626-5250

6935 Elaine Dr
Niagara Falls, NY 14304-2875
Phone (716) 626-5250

Hospital & facility affiliations

  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
  • Brooks-TLC Hospital System, Inc Hospital, Dunkirk, NY, CCN 330229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028632NYMDSports Physical Therapist
028632-01NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Group PastSince Sep 25, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: agalluzzi@gastrowny.medentdirect.com

Organizations & group practices 2

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1316660509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11986 WILLISTON RD",
            "city": "MARILLA",
            "state": "NY",
            "postal_code": "141029719",
            "telephone_number": "716-997-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MAPLE RD UNIT 1",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212917",
            "telephone_number": "716-626-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUZZI",
        "first_name": "ALEXANDRIA",
        "middle_name": "CARCYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "028632-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.