Individual provider Active NPI

Cristian Burgio

  • Physician Assistant
  • Olean, NY
National Provider Identifier
1639820160
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
104 N 19TH St
Olean, NY 14760-1902
Phone
(716) 375-7890
NPI assigned
Jan 17, 2022
Last updated
Jan 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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 Primary

Addresses

Primary practice location

104 N 19TH St
Olean, NY 14760-1902

Mailing address

104 N 19TH St
Olean, NY 14760-1902
Phone (716) 359-5378

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
I20230829002370 NY Practitioner - Physician Assistant 5799148425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 International Dr
Buffalo, NY 14221-5760

400 International Dr
Williamsville, NY 14221-5771
Phone (716) 631-3555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brain & Spine Medical Services PLLC Physician Assistant CurrentSince Jul 8, 2023 Accepting new patients

Locations

400 International Dr
Williamsville, NY 14221
Phone (716) 631-1516

Interoperability endpoints

  • Direct secure messaging: cburgio@invisionhealthbrainandspine.medentdirect.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1639820160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N 19TH ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601902",
            "telephone_number": "716-359-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N 19TH ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601902",
            "telephone_number": "716-375-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGIO",
        "first_name": "CRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.