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

Tiffany Teresa Kalisz, PA

Individual provider Physician Assistant · NPI 1053926808

Tiffany Teresa Kalisz, PA is a Physician Assistant in Cheektowaga, New York. Qualified in 2019, 7 years ago. Practices with Western New York Immediate Medical Care LLC, a 19-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3450 Union Rd
Cheektowaga, NY 14225-5120
Phone: (716) 395-2043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1053926808
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 9, 2020
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Western New York Immediate Medical Care Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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