Amy L Gjakova, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X013026-1 Issued in NY

Practice address

5208 S Salina St
Syracuse, NY 13205-3000

Phone

(570) 367-8121

NPI assigned

Jun 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lilac Wellness

  dba Lilac Wellness and Counseling

  • Multi-Specialty Clinic/Center
  • Salem, OR
  • NPI 1104322841
  NPD (past)

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528070400000",
    "number": "1558853739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SOUTH ST APT 50B",
            "city": "MARCELLUS",
            "state": "NY",
            "postal_code": "131081337",
            "telephone_number": "570-367-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5208 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132053000",
            "telephone_number": "570-367-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJAKOVA",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011318",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013026-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorenzo Gitto, MD
• Melissa Giufre, PA
• Elizabeth Jane Givas, AU.D.
• Brianna Ashley Givens-Rogala
• Erica Givens, RPH
• Brian Glantz, DPT
• Marilyn Conan Glauber, MD
• Taylor Glazier
• Abigail Ryan Gleason, LCSW
• Kathryn Glenwright, LMSW

• Chiropractor in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.