Lauren Samantha Wiatrowski

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

025135 Issued in NY

Practice address

2475 Harlem Rd # 4558
Buffalo, NY 14225-4558

Phone

(716) 322-5428

NPI assigned

Oct 26, 2018

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kostas N Botsoglou MD LLCGroup PAC ID 8426400458, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: lwiatrowski@rheumatologycenterwny.medentdirect.com

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.

• Kostas N Botsoglou MD LLC

  • Rheumatology Physician
  • Cheektowaga, NY
  • NPI 1780076943
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1407323546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 HARLEM RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142254558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 HARLEM RD # 4558",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142254558",
            "telephone_number": "716-322-5428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Cedarbrook Drive",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "NY",
            "postal_code": "14086",
            "country_code": "US",
            "telephone_number": "716-335-2146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIATROWSKI",
        "first_name": "LAUREN",
        "middle_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2020-11-09",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "025135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fantah D Whitt
• Brent Whittall, RN
• Adele Whitted, FNP
• Ashley Nicole Whittington, DC
• Whole Stories Therapy: a Marriage and Family Therapy Practice, PLLC
• Kathy A Wick, LCSW
• Janelle Kay Wickham, MS, CCC-SLP
• Sharon Ann Wicks, BS, RN, CDE
• Vicky Diann Wideman
• Linda Carol Wiecek, COMS

• Medical Physician Assistant in Buffalo, NY
• Providers in Buffalo, 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 Nov 9, 2020; 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.