Individual provider Active NPI

Christina Cavallaro, PA-C

  • Physician Assistant
  • Geneseo, NY
National Provider Identifier
1245981489
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
030119 Issued in NY
Practice address
50 E South St Ste 700
Geneseo, NY 14454-1387
Phone
(585) 243-1700
NPI assigned
Jan 10, 2022
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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 030119 NY Primary

Addresses

Primary practice location

50 E South St Ste 700
Geneseo, NY 14454-1387

Mailing address

10869 State Route 36
Dansville, NY 14437-9444
Phone (585) 335-3100

Other names 1

  • Christina Crocker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230825002010 NY Practitioner - Physician Assistant 4981067741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

50 E S St
Suite 700
Geneseo, NY 14454-1387
Phone (585) 243-1700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030119NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Family Medicine Program, Inc. CurrentSince Aug 14, 2023 Accepting new patients
Tri-County Family Medicine Program, Inc. CurrentSince Aug 14, 2023 Accepting new patients

Locations

10869 State Route 36
Dansville, NY 14437
Phone (585) 335-3100

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

60 Red Jacket St
Ste 1
Dansville, NY 14437
Phone (585) 335-6041

50 E South St
Ste 700
Geneseo, NY 14454
Phone (585) 243-1700

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1245981489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10869 STATE ROUTE 36",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379444",
            "telephone_number": "585-335-3100",
            "fax_number": "585-335-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E SOUTH ST STE 700",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541387",
            "telephone_number": "585-243-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVALLARO",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "030119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "CROCKER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Geneseo, NY

Sources for this page

Verify at the official NPI Registry.