Individual provider Active NPI

Alicia R Reimondo

  • Physician Assistant
  • West Amherst, NY
National Provider Identifier
1295254787
Registry record updated Sep 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
021206 Issued in NY
Practice address
3950 E Robinson Rd Ste 207
West Amherst, NY 14228-2044
Phone
(716) 564-1111
Fax
(716) 564-1111
NPI assigned
Sep 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2017

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 021206 NY Primary

Addresses

Primary practice location

3950 E Robinson Rd Ste 207
West Amherst, NY 14228-2044

Mailing address

1150 Youngs Rd Ste 104
Williamsville, NY 14221-8024
Phone (716) 636-7990

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
I20171201001886 NY Practitioner - Physician Assistant 0345507174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highgate Medical Group PCGroup PAC ID 6901885565, 58 clinicians

Practice addresses (Care Compare)

6255 Sheridan Dr
Williamsville, NY 14221-4825
Phone (716) 636-7979

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021206NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Highgate Medical Group Physician Assistant PastSince Nov 13, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: areimondo@highgatemedical.medentdirect.com

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.

Hospital & facility affiliations 6

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": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1295254787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 YOUNGS RD STE 104",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142218024",
            "telephone_number": "716-636-7990",
            "fax_number": "716-636-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 E ROBINSON RD STE 207",
            "city": "WEST AMHERST",
            "state": "NY",
            "postal_code": "142282044",
            "telephone_number": "716-564-1111",
            "fax_number": "716-564-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMONDO",
        "first_name": "ALICIA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Amherst, NY

Sources for this page

Verify at the official NPI Registry.