Rose Theresa Palazzo, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004223 Issued in NY

Practice address

3834 Delaware Ave
Kenmore, NY 14217-1039

Phone

(716) 877-1221

Fax

(716) 218-2721

NPI assigned

Apr 25, 2006

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: papalazzo@obgynpractice.medentdirect.com

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.

• General Physician, PC

  • General Practice Physician
  • Dunkirk, NY
  • NPI 1093959322
  Medicare reassignment
• Bartels, Powalski & Weissman, MD PC

  • Obstetrics & Gynecology Physician
  • Kenmore, NY
  • NPI 1326060369
  NPD
• Bartels,Powalski & Weissman, MDS,PC

  • Obstetrics & Gynecology Physician
  • Kenmore, NY
  • NPI 1700808847
  NPD

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1962468413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171039",
            "telephone_number": "716-877-1221",
            "fax_number": "716-218-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171039",
            "telephone_number": "716-877-1221",
            "fax_number": "716-218-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAZZO",
        "first_name": "ROSE",
        "middle_name": "THERESA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ott
• Megan Overlan, DPT
• Leanne Therese Pacer-Nieman
• Bhavansa Padmanabha, MD
• Kristie Palazzo
• Anne Palcic, COTA/L
• Cheryl A Palermo, OTR/L
• Maria Palumbo, MS OTR/L
• Biagio Panzarella
• Nicole Paolini, PHARMD

• Physician Assistant in Kenmore, NY
• Providers in Kenmore, 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 May 20, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.