NPIMap

Individual provider Active NPI

Lara Michele Zwijacz, PA-C

  • Physician Assistant
  • Saratoga Springs, NY
National Provider Identifier
1487684163
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PENDING Issued in SC
Practice address
211 Church St
Saratoga Springs, NY 12866-1003
Phone
(518) 587-8222
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006162 NY
Physician Assistant 363A00000X PENDING SC Primary

Addresses

Primary practice location

211 Church St
Saratoga Springs, NY 12866-1003

Mailing address

9 Old Plank Rd
Ste 100
Clifton Park, NY 12065-3107
Phone (518) 371-0777

Other names 1

  • Lara Michele Hoshko Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050923000543 NY Practitioner - Physician Assistant 5496789984 Reassigns benefits to 3 organizations
I20061130000372 SC Practitioner - Physician Assistant 5496789984 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5690

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6162NYMDClinical Psychologist
006162NYMDAcupuncturist
1119SCMDSpeech-Language Pathologist
PENDINGSCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Hospital Inc CurrentSince Oct 1, 2013 Accepting new patients
Nathan Littauer Hospital Association CurrentSince May 8, 2023 Accepting new patients
Nathan Littauer Hospital & Nursing Home CurrentSince May 8, 2023 Accepting new patients
St Francis Hospital Inc CurrentSince Oct 1, 2013 Accepting new patients
Saratoga Hospital Physician Assistant Past Accepting new patients
Spartanburg Emergency Physicians, LLC Past Accepting new patients

Locations

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1487684163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 OLD PLANK RD",
            "address_2": "STE 100",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653107",
            "telephone_number": "518-371-0777",
            "fax_number": "518-371-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661003",
            "telephone_number": "518-587-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWIJACZ",
        "first_name": "LARA",
        "middle_name": "MICHELE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006162",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARA",
            "last_name": "HOSHKO",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.