GJKS PHYSICIAN, PC
NPI 1609583228
Family Medicine in Niagara Falls, NY

Active since November 02, 2022CLIA 33D2285836 · Waiver
4515 MILITARY RD, NIAGARA FALLS, NY 14305(716) 236-7880(716) 236-7885 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, Nov 2, 2022 (2 updates tracked since 2022).

About Gjks Physician, Pc NPPES

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

GJKS PHYSICIAN, PC (NPI 1609583228) is a healthcare organization registered as a family medicine in Niagara Falls, New York and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Kaitlynn Lester, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1609583228
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGJKS PHYSICIAN, PC
Location Address4515 MILITARY RDNiagara Falls, NY 14305-1335
Mailing Address4515 Military RdNiagara Falls, NY 14305-1335 · (716) 236-7880 · Fax (716) 236-7885
Fax(716) 236-7885
Organization SubpartNo
Authorized OfficialKaitlynn LesterPractice Manager · (716) 236-7880
Enumeration DateNovember 2, 2022
Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
NPI 1609583228 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.
4515 MILITARY RD, Niagara Falls, NY 14305

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 33D2285836

Gjks Physician PC · Niagara Falls, NY
Active · expires Jul 18, 2027
CLIA Number33D2285836
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorDr. Giuseppina Kenyon Savard
Laboratory Phone(716) 236-7880
Laboratory LocationGjks Physician PC4515 Military Road Ste 1, Niagara Falls, NY 14305
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Family Medicine
4515 MILITARY RD
NIAGARA FALLS, NY 14305
Physician Assistant
4515 MILITARY RD
NIAGARA FALLS, NY 14305
Nurse Practitioner (Family)
4515 MILITARY RD
NIAGARA FALLS, NY 14305
Internal Medicine
4515 MILITARY RD
NIAGARA FALLS, NY 14305
Nurse Practitioner (Adult Health)
4515 MILITARY RD
NIAGARA FALLS, NY 14305
Internal Medicine
4515 MILITARY RD
NIAGARA FALLS, NY 14305

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 Gjks Physician, PC's NPI number?

The NPI number for Gjks Physician, PC is 1609583228. It was assigned to this organization in the NPPES registry on November 2, 2022.

Where is Gjks Physician, PC located?

Gjks Physician, PC is located at 4515 Military Rd, Niagara Falls, NY 14305. The listed phone number is (716) 236-7880.

What is Gjks Physician, PC's specialty?

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

Does Gjks Physician, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2285836) is associated with this NPI, valid through July 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gjks Physician, PC was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.