Individual provider Active NPI

Amy Becker, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Lackawanna, NY
National Provider Identifier
1922323187
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
264963 Issued in NY
Practice address
55 Melroy Ave
Lackawanna, NY 14218-1658
Phone
(716) 819-5050
NPI assigned
Mar 31, 2010
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 264963 NY Primary

Addresses

Primary practice location

55 Melroy Ave
Lackawanna, NY 14218-1658

Mailing address

55 Melroy Ave
Lackawanna, NY 14218-1658
Phone (716) 819-5050

Other names 1

  • Amy Zielinski Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160218001773 NY Order and Referring Only - Geriatric MedicinePractitioner - Geriatric Medicine 6800191487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital of Buffalo Past Accepting new patients
Sisters of Charity Hospital of Buffalo New York Past Accepting new patients
Sisters of Charity Hospital of Buffalo New York Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1922323187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MELROY AVE",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181658",
            "telephone_number": "716-819-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MELROY AVE",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181658",
            "telephone_number": "716-819-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "AMY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "264963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "ZIELINSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lackawanna, NY

Sources for this page

Verify at the official NPI Registry.