Individual provider Active NPI

Emily Sarah Wilgocki, PA-C

  • Medical Physician Assistant
  • Liverpool, NY
National Provider Identifier
1982461893
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
034743 Issued in NY
Practice address
5112 W Taft Rd Ste J
Liverpool, NY 13088-4866
Phone
(315) 701-2170
NPI assigned
Mar 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 034743 NY Primary

Addresses

Primary practice location

5112 W Taft Rd Ste J
Liverpool, NY 13088-4866

Mailing address

5112 W Taft Rd Ste J
Liverpool, NY 13088-4866
Phone (315) 701-2170

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
I20251226000606 NY Practitioner - Physician Assistant 5193211316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5112 W Taft Rd
Suite J
Liverpool, NY 13088-4866
Phone (315) 701-2170

Hospital & facility affiliations

  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
034743NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in CurrentSince Dec 1, 2025 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Dec 1, 2025 Accepting new patients

Locations

510 Towne Dr
Fayetteville, NY 13066
Phone (315) 637-4747

5112 W Taft Rd
Ste J
Liverpool, NY 13088
Phone (315) 701-2170

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1982461893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD STE J",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884866",
            "telephone_number": "315-701-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 W TAFT RD STE J",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884866",
            "telephone_number": "315-701-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILGOCKI",
        "first_name": "EMILY",
        "middle_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "034743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.