Individual provider Active NPI

Gary J. Kostek, D.C.

  • Chiropractor
  • Williamsville, NY
National Provider Identifier
1750374948
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006972-1 Issued in NY
Practice address
8643 Sheridan Dr
Williamsville, NY 14221-6315
Phone
(716) 634-4133
Fax
(716) 634-4140
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X006972-1 NY Primary

Addresses

Primary practice location

8643 Sheridan Dr
Williamsville, NY 14221-6315

Mailing address

8643 Sheridan Dr
Williamsville, NY 14221-6315
Phone (716) 634-4133

Other identifiers 7

IdentifierTypeStateIssuer
C06972-6BOtherNYWC PROVIDER #
002113491OtherNYBC/BS PROVIDER #
5800965OtherNYGHI PROVIDER #
8809538OtherNYIHA PROVIDER #
911157OtherNYMPN PROVIDER #
35002855-2OtherNYRAILROAD MEDICARE
161439044OtherNYPRISM PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000324 NY Practitioner - Chiropractic 7810021771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8643 Sheridan Dr
Williamsville, NY 14221-6315
Phone (716) 634-4133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X006972-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kostek Chiropractic Offices, PLLC CurrentSince Jan 31, 2010 Accepting new patients

Locations

8695 Sheridan Dr
Williamsville, NY 14221
Phone (716) 634-4133

8643 Sheridan Dr
Williamsville, NY 14221
Phone (716) 565-9030

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1750374948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8643 SHERIDAN DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216315",
            "telephone_number": "716-634-4133",
            "fax_number": "716-634-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8643 SHERIDAN DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216315",
            "telephone_number": "716-634-4133",
            "fax_number": "716-634-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTEK",
        "first_name": "GARY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006972-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WC PROVIDER #",
            "identifier": "C06972-6B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "002113491",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER #",
            "identifier": "5800965",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA PROVIDER #",
            "identifier": "8809538",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPN PROVIDER #",
            "identifier": "911157",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "35002855-2",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRISM PROVIDER #",
            "identifier": "161439044",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.