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GIANNA OF SYRACUSE MEDICAL PLLC
NPI 1104451848
Family Medicine in Rochester, NY

Active since March 03, 2020CLIA 33D2338935 · Waiver
1880 E RIDGE RD STE 8, ROCHESTER, NY 14622(585) 310-8787 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2025, Mar 3, 2020 (2 updates tracked since 2020).

About Gianna Of Syracuse Medical Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GIANNA OF SYRACUSE MEDICAL PLLC (NPI 1104451848), doing business as Restore Health And Wellness, is a healthcare organization registered as a family medicine in Rochester, New York and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through February 19, 2028, maintains a secondary practice location in Syracuse, and lists Angela Kristan, Owner, as its authorized official.

NPPES Registry Identity

NPI1104451848
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGIANNA OF SYRACUSE MEDICAL PLLC
Location Address1880 E RIDGE RD STE 8Rochester, NY 14622-2450
Mailing Address1141 East Union St., #9201Syracuse, NY 13219-1919 · (585) 310-8787
Phone(585) 310-8787
Organization SubpartNo
Authorized OfficialAngela KristanOwner · (405) 640-5576
Enumeration DateMarch 3, 2020
Last NPPES UpdateFebruary 28, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1104451848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1880 E RIDGE RD STE 8, Rochester, NY 14622
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Other Names 1

Doing Business AsRestore Health And Wellness

Secondary Practice Location 1

Location 11141 East Union St., #9201Syracuse, NY 13219-1919 · Phone (585) 310-8787

Other Identifiers 1

Medicaid05240455NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2338935

Gianna Of Syracuse Medical PLLC · Rochester, NY
Active · expires Feb 19, 2028
CLIA Number33D2338935
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorNoah F. Gomez
Laboratory Phone(585) 363-5040
Laboratory LocationGianna Of Syracuse Medical PLLC1880 East Ridge Road 8 Up, Rochester, NY 14622
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NOAH GOMEZ MD
Obstetrics & Gynecology
1880 E RIDGE RD STE 8
ROCHESTER, NY 14622
Monroe County (585) 363-5040
ANGELA KRISTAN
Family Medicine
1880 E RIDGE RD STE 8
ROCHESTER, NY 14622
Monroe County (585) 363-5040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gianna Of Syracuse Medical PLLC's NPI number?

The NPI number for Gianna Of Syracuse Medical PLLC is 1104451848. It was assigned to this organization in the NPPES registry on March 3, 2020. The provider is doing business as Restore Health and Wellness.

Where is Gianna Of Syracuse Medical PLLC located?

Gianna Of Syracuse Medical PLLC is located at 1880 E Ridge Rd Ste 8, Rochester, NY 14622. The listed phone number is (585) 310-8787.

What is Gianna Of Syracuse Medical PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Gianna Of Syracuse Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2338935) is associated with this NPI, valid through February 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gianna Of Syracuse Medical PLLC was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.