Active NPI
Christopher Zachary Lajudice, PA-C
- Medical Physician Assistant
- Williamsville, NY
National Provider Identifier
1568887933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 325 Essjay Rd
Williamsville, NY 14221-8243 - Phone
- (716) 630-2600
- Fax
- (716) 626-1858
- NPI assigned
- Feb 21, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary | ||
| Physician Assistant | 363A00000X | 017403 | NY |
Addresses
Primary practice location
325 Essjay Rd
Williamsville, NY 14221-8243
Mailing address
425 Essjay Rd Ste 170
Williamsville, NY 14221-8235
Phone (716) 630-1219
Other practice location 1
295 Essjay Rd
Williamsville, NY 14221-8216
Phone (716) 656-4451
Other practice location 2
3900 N Buffalo St
Orchard Park, NY 14127-1842
Phone (716) 656-4451
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03809478 | Medicaid | NY | |
| P01620166 | Other | NY | MEDICARE RR |
Other names 1
- Christopher Zachary Lickers
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.4 of 100
- Quality
- 72.79
- Improvement activities
- 40
- Cost
- 71.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017403 | NY | MD | Physical Therapist |
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.
-
- Internal Medicine Physician
- Williamsville, NY
- NPI 1255394763
-
- Family Medicine Physician
- Amherst, NY
- NPI 1326158593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1568887933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ESSJAY RD STE 170",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218235",
"telephone_number": "716-630-1219",
"fax_number": "716-817-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 ESSJAY RD",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218243",
"telephone_number": "716-630-2600",
"fax_number": "716-626-1858"
}
],
"practiceLocations": [
{
"address_1": "295 Essjay Rd",
"address_purpose": "LOCATION",
"city": "Williamsville",
"state": "NY",
"postal_code": "142218216",
"country_code": "US",
"telephone_number": "716-656-4451",
"fax_number": "716-250-5997",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3900 N Buffalo St",
"address_purpose": "LOCATION",
"city": "Orchard Park",
"state": "NY",
"postal_code": "141271842",
"country_code": "US",
"telephone_number": "716-656-4451",
"fax_number": "716-250-5997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAJUDICE",
"first_name": "CHRISTOPHER",
"middle_name": "ZACHARY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-21",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "017403",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03809478",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P01620166",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTOPHER",
"last_name": "LICKERS",
"middle_name": "ZACHARY",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Williamsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.