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GARY FAMIGLIETTI PA-C
NPI 1417076316
Physician Assistant - Medical in Detroit, MI

Active since March 29, 2007
1560 E MAPLE RD, SUITE 400 - CREDENTIALING DEPARTMENT, DETROIT, MI 48201(800) 527-6266(313) 576-8381 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gary Famiglietti Pa-c NPPES

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

GARY FAMIGLIETTI PA-C (NPI 1417076316) is an individual medical provider in Detroit, Michigan, licensed in Michigan (5601001499) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1417076316
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameGARY FAMIGLIETTICredential: PA-C
Location Address1560 E MAPLE RD, SUITE 400 - CREDENTIALING DEPARTMENTDetroit, MI 48201-2013
Mailing Address4100 John R StDetroit, MI 48201-2013 · (800) 527-6266 · Fax (313) 576-8381
Phone(800) 527-6266
Fax(313) 576-8381
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateFebruary 27, 2017
✔ NPI 1417076316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601001499
1560 E MAPLE RD, Detroit, MI 48201
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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 Gary Famiglietti's NPI number?

The NPI number for Gary Famiglietti is 1417076316. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Gary Famiglietti located?

Gary Famiglietti practices at 1560 E Maple Rd Suite 400 - Credentialing Department, Detroit, MI 48201. The listed phone number is (800) 527-6266.

What is Gary Famiglietti's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Gary Famiglietti was last updated on February 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.