Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacquelyn Marie Gonka-Griffo, MD

Individual provider Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · NPI 1902292733

Dr. Jacquelyn Marie Gonka-Griffo, MD is an Urology in Cheektowaga, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2015, 11 years ago. Practices with Great Lakes Physician PC, a 67-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
11
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3085 Harlem Rd Ste 200
Cheektowaga, NY 14225-2591
Phone: (716) 844-5000
Fax: (716) 844-5750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician (primary) Taxonomy 2088F0040X · Licence 309454 (NY)

Record details

NPI number1902292733
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Great Lakes Physician Pc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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