Individual provider Active NPI

Dominic Salvatore Ascioti, PA-C

  • Physician Assistant
  • Albany, NY
National Provider Identifier
1033561840
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019786 Issued in NY
Practice address
600 Northern Blvd
Albany, NY 12204-1004
Phone
(518) 471-3221
NPI assigned
Jul 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019786 NY Primary

Addresses

Primary practice location

600 Northern Blvd
Albany, NY 12204-1004

Mailing address

600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3221

Other practice location 1

1300 Massachusetts Ave
Troy, NY 12180-1628
Phone (518) 268-5234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160908000402 NY Practitioner - Physician Assistant 0749576346 Reassigns benefits to 1 organization
I20210729000699 FL Practitioner - Physician Assistant 0749576346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Albany Medical College of Union University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mediquick Urgent Care Centers IncGroup PAC ID 3577542000, 6 clinicians

Practice addresses (Care Compare)

140 Pinnacles Dr
Palm Coast, FL 32164-2322
Phone (386) 447-6615

6 Office Park Dr
Palm Coast, FL 32137-3808
Phone (386) 447-6615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
019786NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Physician Assistant CurrentSince Jan 1, 2019 Accepting new patients
Samaritan Hospital of Troy, New York Physician Assistant CurrentSince Jan 1, 2019 Accepting new patients

Locations

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

2 Empire Dr
Ste 202
Rensselaer, NY 12144
Phone (518) 286-4990

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000

147 Hoosick St
Troy, NY 12180
Phone (518) 268-5749

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033561840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041004",
            "telephone_number": "518-471-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041004",
            "telephone_number": "518-471-3221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801628",
            "country_code": "US",
            "telephone_number": "518-268-5234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASCIOTI",
        "first_name": "DOMINIC",
        "middle_name": "SALVATORE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.