Individual provider Active NPI

Andrea L Slazyk, NP

  • Adult Health Nurse Practitioner
  • Cheektowaga, NY
National Provider Identifier
1679617021
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
304590 Issued in NY
Practice address
60 Innsbruck Dr
Cheektowaga, NY 14227-2735
Phone
(716) 669-7051
Fax
(716) 668-7059
NPI assigned
Feb 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 304590 NY Primary

Addresses

Primary practice location

60 Innsbruck Dr
Cheektowaga, NY 14227-2735

Mailing address

66 International LN
Grand Island, NY 14072-1474
Phone (716) 774-0034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
304590NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Pain & Wellness Associates, LLC PastSince Feb 28, 2017 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1679617021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 INTERNATIONAL LN",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721474",
            "telephone_number": "716-774-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 INNSBRUCK DR",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142272735",
            "telephone_number": "716-669-7051",
            "fax_number": "716-668-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAZYK",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.