Colleen M Vaccaro, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

009428-1 Issued in NY

Practice address

605 Division St Ste 1
North Tonawanda, NY 14120-4486

Phone

(716) 500-7546

Fax

(315) 378-4210

NPI assigned

Sep 28, 2006

Last updated

Oct 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empire Dermatology PLLCGroup PAC ID 9234417452, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.8 of 100Reported as group

Quality

70

Promoting interoperability

97

Improvement activities

40

Cost

71.84

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empire Dermatology PLLC

  • MOHS-Micrographic Surgery Physician
  • East Syracuse, NY
  • NPI 1336698406
  Medicare reassignment Care Compare group
• Lynn a. Amarante, MD PC

  • Specialist
  • Williamsville, NY
  • NPI 1902958721
  Medicare reassignment
• Imperium Healthcare Consulting LLC

  • Durable Medical Equipment & Medical Supplies
  • East Syracuse, NY
  • NPI 1184335887
  NPD (past)
• Joseph B. Neiman, MD, PC

  • Specialist
  • Williamsville, NY
  • NPI 1861533747
  NPD (past)
• Lisa S. Ball, Family Health NP, PLLC

  • Dermatology Physician
  • Williamsville, NY
  • NPI 1578073276
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1801987284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 WIDEWATERS PKWY",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130573084",
            "telephone_number": "716-500-7546",
            "fax_number": "315-378-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 DIVISION ST STE 1",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141204486",
            "telephone_number": "716-500-7546",
            "fax_number": "315-378-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACCARO",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009428-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twin City Chiropractic
• Twin City Physicians Group P.C.
• Julie Ann Tyczynski, RPH
• Colleen Ulrich, OTR/L
• United Protection Service (United)
• Vesela Valnarov
• Charles Valo, BSW
• Vesela NP in Psychiatry PLLC
• Camille Vieira, LCSW
• Melissa Lynn Virgilio, PTA

• Physician Assistant in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.