Active NPI
Alexandra M Cellino, P.A.
- Physician Assistant
- Orchard Park, NY
National Provider Identifier
1134569502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 016614
- Practice address
- 3345 Southwestern Blvd
Orchard Park, NY 14127-1506 - Phone
- (716) 656-4803
- Fax
- (716) 250-5932
- NPI assigned
- Jul 1, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 016614 | NY | Primary |
Addresses
Primary practice location
3345 Southwestern Blvd
Orchard Park, NY 14127-1506
Mailing address
425 Essjay Rd
Ste 170
Williamsville, NY 14221-5782
Phone (716) 630-1219
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016614 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1134569502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ESSJAY RD",
"address_2": "STE 170",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142215782",
"telephone_number": "716-630-1219",
"fax_number": "716-817-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 SOUTHWESTERN BLVD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141271506",
"telephone_number": "716-656-4803",
"fax_number": "716-250-5932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CELLINO",
"first_name": "ALEXANDRA",
"middle_name": "M",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-01",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "016614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.