Individual provider Active NPI

Charley Elizabeth Zicari, PA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1275378275
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
23 Traymore Rd
Rochester, NY 14609-5801
Phone
(315) 608-0047
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 Primary

Addresses

Primary practice location

23 Traymore Rd
Rochester, NY 14609-5801

Mailing address

23 Traymore Rd
Rochester, NY 14609-5801
Phone (315) 608-0047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20251015002002 VA Practitioner - Physician Assistant 9830686633 Reassigns benefits to 1 organization
I20251016003148 DC Practitioner - Physician Assistant 9830686633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11700 Sudley Manor Dr
Manassas, VA 20109-2843

7263 E Arlington Blvd
Falls Church, VA 22042-3288

7263 F Arlington Blvd
Falls Church, VA 22042-3219

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baby Doc Inc CurrentSince May 29, 2025 Accepting new patients
Falls Church Pediatrics CurrentSince Jun 1, 2025 Accepting new patients

Locations

7263F Arlington Blvd
Falls Church, VA 22042
Phone (703) 775-0777

11700 Sudley Manor Dr
Manassas, VA 20109
Phone (703) 589-9695

42010 Village Center Plz
Ste 100
Stone Ridge, VA 20105
Phone (703) 542-7921

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1275378275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 TRAYMORE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146095801",
            "telephone_number": "315-608-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 TRAYMORE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146095801",
            "telephone_number": "315-608-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICARI",
        "first_name": "CHARLEY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.