Individual provider Active NPI

Alexandra Pamela Galvano, PHYSICIAN ASSISTANT

  • Physician Assistant
  • East Amherst, NY
National Provider Identifier
1508477472
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
025429 Issued in NY
Practice address
6507 Transit Rd
East Amherst, NY 14051-1427
Phone
(716) 689-4377
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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 025429 NY Primary

Addresses

Primary practice location

6507 Transit Rd
East Amherst, NY 14051-1427

Mailing address

3050 Orchard Park Rd
West Seneca, NY 14224-4658
Phone (716) 675-5222

Other practice location 1

4845 Transit Rd
Depew, NY 14043-4783
Phone (716) 675-2222

Other practice location 2

3050 Orchard Park Rd
West Seneca, NY 14224-4658
Phone (716) 675-5222

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201020001755 NY Practitioner - Physician Assistant 0042630691 Reassigns benefits to 2 organizations
Practice locations: East Amherst, NY

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Lenahan Dermatology PLLCGroup PAC ID 0143574608, 7 clinicians

Practice addresses (Care Compare)

6507 Transit Rd
Suite a
East Amherst, NY 14051-1427
Phone (716) 689-4377

Merit-based Incentive Payment System (MIPS)

Final score
70.06 of 100Reported as group
Quality
40.12
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gaddi Family Medicine PLLC PastSince Jan 29, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1508477472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244658",
            "telephone_number": "716-675-5222",
            "fax_number": "716-675-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 TRANSIT RD",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511427",
            "telephone_number": "716-689-4377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4845 Transit Rd",
            "address_purpose": "LOCATION",
            "city": "Depew",
            "state": "NY",
            "postal_code": "140434783",
            "country_code": "US",
            "telephone_number": "716-675-2222",
            "fax_number": "716-675-9329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3050 Orchard Park Rd",
            "address_purpose": "LOCATION",
            "city": "West Seneca",
            "state": "NY",
            "postal_code": "142244658",
            "country_code": "US",
            "telephone_number": "716-675-5222",
            "fax_number": "716-675-9329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALVANO",
        "first_name": "ALEXANDRA",
        "middle_name": "PAMELA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "025429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Amherst, NY

Sources for this page

Verify at the official NPI Registry.