Wiktoria Anna Galica, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6637 Issued in CT

Practice address

30 W Avon Rd Ste E
Avon, CT 06001-3678

Phone

(860) 674-9900

NPI assigned

Jun 21, 2024

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 CT

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Connecticut Dermatology PLLCGroup PAC ID 8527301365, 20 clinicians

Farmington Valley Dermatology and Surgery LLCGroup PAC ID 8123240132, 9 clinicians

Practice addresses (Care Compare)

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.

• Central Connecticut Dermatology, PLLC

  • Dermatology Physician
  • Cromwell, CT
  • NPI 1407313984
  Medicare reassignment Care Compare group NPD
• Farmington Valley Dermatology and Surgery, LLC

  • Dermatology Physician
  • Avon, CT
  • NPI 1164835153
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1407690704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BRITTANY FARMS RD APT D",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060531176",
            "telephone_number": "215-499-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W AVON RD STE E",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013678",
            "telephone_number": "860-674-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Willowbrook Rd Apt 2",
            "address_purpose": "LOCATION",
            "city": "Cromwell",
            "state": "CT",
            "postal_code": "064161745",
            "country_code": "US",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "499 Farmington Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060321933",
            "country_code": "US",
            "telephone_number": "860-400-2000",
            "fax_number": "860-400-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Northwestern Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "CT",
            "postal_code": "060023400",
            "country_code": "US",
            "telephone_number": "860-400-2000",
            "fax_number": "860-400-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Buckland Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060743725",
            "country_code": "US",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Knotter Drive Suite 2",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "06489",
            "country_code": "US",
            "telephone_number": "860-400-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Dale Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060013692",
            "country_code": "US",
            "telephone_number": "860-322-2222",
            "fax_number": "860-322-6838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALICA",
        "first_name": "WIKTORIA",
        "middle_name": "ANNA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-21",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "6637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Furtak, LCSW
• Jacqueline Fusari, LAC
• Maria G Gaer, APRN-BC
• Debra Anne Gage, APRN
• Marc Dylan Gagnon, PMHNP-BC
• Alissa Gandiaga
• Michael Gans, PT
• David W Garry, PA-C
• Sharon M Gauthier, RN
• Daniel Brian Geelan, D.M.D

• Physician Assistant in Avon, CT
• Providers in Avon, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.