John J Slisz, PA
Physician Assistant, Medical in Orchard Park, NY. Individual provider (NPI-1).
NPI number1669939849
StatusActive
Last updated in NPPESFeb 17, 2024
Details
- NPI
- 1669939849
- Entity type
- Individual (NPI-1)
- Name
- John J Slisz
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 25, 2019
- Certification date
- Feb 17, 2024
- Last updated
- Feb 17, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 023312 | NY | Yes |
Practice location
5959 Big Tree Rd Ste 102Orchard Park, NY 14127-2291
Phone 716-308-9640 · Fax 862-212-1997
Mailing address
5959 Big Tree Rd Ste 102Orchard Park, NY 14127-2291
Phone 716-308-9640 · Fax 862-212-1997
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 27 Medical Physician Assistant providers in Orchard Park · All 1,606 providers in Orchard Park
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