Phyllis Ann Komroy, LCSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

070564-1 Issued in NY

Practice address

765 Wehrle Dr
Buffalo, NY 14225-1319

Phone

(716) 565-2092

Fax

(716) 634-1317

NPI assigned

May 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Phyllis Ann Burgio Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Howard C. Wilinsky, M.D., P.C.

  • Psychiatry Physician
  • Amherst, NY
  • NPI 1619150380
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1790730141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 WALTON DR",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264845",
            "telephone_number": "716-839-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 WEHRLE DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251319",
            "telephone_number": "716-565-2092",
            "fax_number": "716-634-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMROY",
        "first_name": "PHYLLIS",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "070564-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "BURGIO",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph George Komenda
• Katriel Komet, B.S.
• Morteza Komeylian, M.D.
• Isabel K Komornicki, NP
• Elizabeth Komoroske
• Kerstina Elaine Konakanchi, TEACHER
• Rahul Kondaveti, M.B.B.S.
• Lakshmana Rao Koneru, MD
• Kelly Konesky, LMSW
• Joanna Erica Konikoff, M.S.

• Professional Counselor in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Professional Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.

Verify at the official NPI Registry.