Individual provider Active NPI

Gust P Verleni, PA

  • Medical Physician Assistant
  • Jamestown, NY
National Provider Identifier
1811988801
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
006801 Issued in NY
Practice address
890 E 2ND St
Jamestown, NY 14701-3824
Phone
(716) 661-1583
NPI assigned
Oct 31, 2005
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006801 NY
Medical Physician Assistant 363AM0700X 006801 NY Primary

Addresses

Primary practice location

890 E 2ND St
Jamestown, NY 14701-3824

Mailing address

880 E 2ND St
Jamestown, NY 14701-3824
Phone (716) 661-1583

Other identifiers 1

IdentifierTypeStateIssuer
02341977MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gverleni258736@upmc.direct-ci.com

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
I20050909000367 NY Practitioner - Physician Assistant 9638101363 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of CattaraugusGroup PAC ID 3375455124, 10 clinicians
Upmc Chautauqua at WcaGroup PAC ID 4385630342, 26 clinicians

Practice addresses (Care Compare)

1 Leo Moss Dr
Suite 4308
Olean, NY 14760-1100
Phone (716) 373-8040

200 E 3Rd St
Suite 5
Jamestown, NY 14701-5433
Phone (716) 661-8330

207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 664-8640

51 Glasgow Ave
Jamestown, NY 14701-6440
Phone (716) 664-8641

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6801NYMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Olean General Hospital CurrentSince Nov 2, 2010 Accepting new patients
County of Cattaraugus County Treasurer CurrentSince Jun 12, 2015 Accepting new patients
Olean General Hospital Physician Assistant Current Accepting new patients
County of Cattaraugus Medical CurrentSince Jun 12, 2015 Accepting new patients
County of Chautauqua - a Mun Corp CurrentSince Jun 16, 2008 Accepting new patients
Jamestown Psychiatric PC PastSince May 7, 2023 Accepting new patients
Chautauqua Co. Chapter of Nysarc Inc Dba the Resource Center PastSince Aug 6, 2006 Accepting new patients

Locations

200 E 3rd St
Ste 5
Jamestown, NY 14701
Phone (716) 661-8330

1 Leo Moss Dr
Ste 4308
Olean, NY 14760
Phone (716) 373-8040

515 Main St
Olean, NY 14760
Phone (716) 373-2600

Interoperability endpoints

  • Direct secure messaging: gust.verleni@upmcdirect.com
  • Direct secure messaging: gverleni258736@upmc.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1811988801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 E 2ND ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147013824",
            "telephone_number": "716-661-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E 2ND ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147013824",
            "telephone_number": "716-661-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERLENI",
        "first_name": "GUST",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006801",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02341977",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gverleni258736@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.