Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brent P Maczuga, PA-C

Individual provider Physician Assistant · NPI 1891112496

Brent P Maczuga, PA-C is a Physician Assistant in Buffalo, New York. Graduated from Drexel University College of Medicine in 2014, 12 years ago. Practices with Jericho Road Ministries, Inc, a 33-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Trained at
Drexel University College of Medicine
Licensed in
PA
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

21 Doat St
Buffalo, NY 14211-1612
Phone: (716) 892-2775
Fax: (716) 597-0554
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA056791 (PA)

Record details

NPI number1891112496
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 21, 2014
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Jericho Road Ministries, Inc. — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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