GJKS PHYSICIAN, PC
NPI 1609583228
Family Medicine in Niagara Falls, NY
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gjks Physician, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Gjks Physician, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYFrequently 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.
Is Gjks Physician, PC enrolled in Medicare?
Yes. Gjks Physician, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gjks Physician, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Gjks Physician, PC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Gjks Physician, Pc · NPI 1609583228
Family Medicine organization in Niagara Falls, New York. Organization record, active in the CMS NPPES registry since November 2, 2022.
## Identity
- **NPI:** 1609583228 (Entity type: Organization)
- **Enumerated:** November 2, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Kaitlynn Lester, PRACTICE MANAGER
## Practice location
- **Address:** 4515 MILITARY RD, Niagara Falls, NY 14305-1335
- **Phone:** (716) 236-7880 · **Fax:** (716) 236-7885
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1609583228) · Data from the CMS NPPES public registry.