Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MS. DEBORAH ANN MACIOLEK P.A.
NPI 1639154818
Physician Assistant - Surgical in Buffalo, NY

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since December 12, 2005PECOS Enrolled

3495 BAILEY AVE, BUFFALO, NY 14215(716) 862-6063(716) 862-8600 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Deborah Ann Maciolek P.a. NPPES

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

MS. DEBORAH ANN MACIOLEK P.A. (NPI 1639154818) is an individual surgical provider in Buffalo, New York, licensed in New York (005245) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639154818

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMS. DEBORAH ANN MACIOLEKCredential: P.A.

Location Address3495 BAILEY AVEBuffalo, NY 14215-1129

Mailing Address422 Evergreen DrTonawanda, NY 14150-5536 · (716) 862-6063 · Fax (716) 862-8600

Phone(716) 862-6063

Fax(716) 862-8600

Sole ProprietorNo

Enumeration DateDecember 12, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1639154818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in NY · 005245

3495 BAILEY AVE, Buffalo, NY 14215

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Deborah Ann Maciolek P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.