Individual provider Active NPI

Jillian C Lamarca, RPA-C

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1891928750
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
013306-1 Issued in NY
Practice address
3950 E Robinson Rd
Suite 207
Buffalo, NY 14228-2041
Phone
(716) 564-1111
Fax
(716) 564-1128
NPI assigned
Aug 26, 2009
Last updated
Jul 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 013306-1 NY Primary

Addresses

Primary practice location

3950 E Robinson Rd
Suite 207
Buffalo, NY 14228-2041

Mailing address

1150 Youngs Rd
Suite 104
Williamsville, NY 14221-8053
Phone (716) 636-7979

Other identifiers 1

IdentifierTypeStateIssuer
03194983MedicaidNY

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
I20100415000009 NY Practitioner - Physician Assistant 2466589908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highgate Medical Group PCGroup PAC ID 6901885565, 58 clinicians

Practice addresses (Care Compare)

3950 E Robinson Rd
Suite 207
Buffalo, NY 14228-2044
Phone (716) 564-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013306-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Highgate Medical Group Physician Assistant CurrentSince Nov 13, 2022 Accepting new patients

Locations

3950 E Robinson Rd
Ste 207
West Amherst, NY 14228
Phone (716) 564-1111

1150 Youngs Rd
Ste 104
Williamsville, NY 14221
Phone (716) 636-7979

Interoperability endpoints

  • Direct secure messaging: jlamarca@highgatemedical.medentdirect.com

Organizations & group practices 2

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 7

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": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1891928750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD",
            "address_2": "SUITE 104",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218053",
            "telephone_number": "716-636-7979",
            "fax_number": "716-636-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 E ROBINSON RD",
            "address_2": "SUITE 207",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142282041",
            "telephone_number": "716-564-1111",
            "fax_number": "716-564-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMARCA",
        "first_name": "JILLIAN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013306-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03194983",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.