Individual provider Active NPI

Leena Gazdovich, RN, BSN, IBCLC

  • Registered Nurse
  • Buffalo, NY
National Provider Identifier
1992578157
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
751326-01 Issued in NY
Practice address
1360 N Forest Rd Ste 111
Buffalo, NY 14221-1200
Phone
(716) 725-6370
NPI assigned
Oct 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-303803 NY
Registered Nurse 163W00000X 751326-01 NY Primary

Addresses

Primary practice location

1360 N Forest Rd Ste 111
Buffalo, NY 14221-1200

Mailing address

1360 N Forest Rd Ste 111
Buffalo, NY 14221-1200
Phone (716) 725-6370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
751326-01NYMDRegistered Nurse
L-303803NYMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
The Care Connection Lactation, Inc CurrentSince Nov 5, 2023 Accepting new patients

Locations

1360 N Forest Rd
Ste 111
Williamsville, NY 14221
Phone (716) 725-6370

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1992578157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 N FOREST RD STE 111",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142211200",
            "telephone_number": "716-725-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N FOREST RD STE 111",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142211200",
            "telephone_number": "716-725-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZDOVICH",
        "first_name": "LEENA",
        "credential": "RN, BSN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "L-303803",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "751326-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.