Active NPI
Amy L.M. Roberson, RPA-C
- Medical Physician Assistant
- Utica, NY
National Provider Identifier
1306025960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 012124-1
- Practice address
- 1522 Old Burrstone Rd
Utica, NY 13502-4804 - Phone
- (315) 797-2450
- NPI assigned
- Oct 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 012124-1 | NY | Primary |
Addresses
Primary practice location
1522 Old Burrstone Rd
Utica, NY 13502-4804
Mailing address
2758 Oneida St
Sauquoit, NY 13456-3108
Phone (315) 323-0866
Other names 1
- Amy Leigh Monfiletto
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080108000423 | NY | Practitioner - Physician Assistant | 6709966427 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Broad St
Hamilton, NY 13346-9575
160 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-7040
Hospital & facility affiliations
- Wynn Hospital
- Community Memorial Hospital, Inc
- Rome Memorial Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012124 | NY | MD | Physical Therapist |
| 012124-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Hospital | Current | Accepting new patients | |
| Atlantic Physician Services of Maryland, PC | Past | Accepting new patients | |
| Utica Emergency Physicians, PC | Past | Accepting new patients | |
| Community Memorial Hospital | Past | Accepting new patients |
Locations
164 Broad St
Hamilton, NY 13346
Phone (315) 648-6411
150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100
Interoperability endpoints
- aroberson@cmhhamilton.medentdirect.com
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Waterville, NY
- NPI 1477080604
-
- Critical Access Hospital
- Hamilton, NY
- NPI 1992707608
-
- Emergency Medicine Physician
- New Hartford, NY
- NPI 1447323019
-
- Physician Assistant
- Baltimore, MD
- NPI 1174632376
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rome, NY
- NPI 1306807193
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1306025960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2758 ONEIDA ST",
"city": "SAUQUOIT",
"state": "NY",
"postal_code": "134563108",
"telephone_number": "315-323-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1522 OLD BURRSTONE RD",
"city": "UTICA",
"state": "NY",
"postal_code": "135024804",
"telephone_number": "315-797-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "AMY",
"middle_name": "L.M.",
"credential": "RPA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-31",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "012124-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "MONFILETTO",
"middle_name": "LEIGH",
"credential": "RPA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.