Active NPI
Roxellen Anntoinette Auletto, PNP, ANP-BC
- Adult Health Nurse Practitioner
- Syracuse, NY
National Provider Identifier
1083712764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NN09572100
- Practice address
- 174 Attack Wing
6001 E. Molloy Road
Syracuse, NY 13211 - Phone
- (315) 454-6146
- NPI assigned
- Sep 20, 2006
- Last updated
- Feb 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NN09572100 | NJ | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | 26NN09572100 | NJ |
Addresses
Primary practice location
174 Attack Wing
6001 E. Molloy Road
Syracuse, NY 13211
Mailing address
3 N Columbus Blvd Apt Td418
Philadelphia, PA 19106-1431
Phone (707) 333-9985
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233710ANG | Other | NJ | MEDICARE PTAN |
| 2633604 | Medicaid | NJ | |
| 4231272 | Other | NJ | HORIZON BC BS OF NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309033 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Internal Medicine Associates, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Pleasantville, NJ
- NPI 1982763371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1083712764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 N COLUMBUS BLVD APT TD418",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191061431",
"telephone_number": "707-333-9985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 ATTACK WING",
"address_2": "6001 E. MOLLOY ROAD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13211",
"telephone_number": "315-454-6146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AULETTO",
"first_name": "ROXELLEN",
"middle_name": "ANNTOINETTE",
"name_prefix": "Dr.",
"credential": "PNP, ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2025-02-13",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NN09572100",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NN09572100",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "233710ANG",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2633604",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BC BS OF NJ",
"identifier": "4231272",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.