Individual provider Active NPI

Rebecca A. Salerno-Mosher, P.A.

  • Physician Assistant
  • Irving, NY
National Provider Identifier
1447222773
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003201 Issued in NY
Practice address
275 Thomas Indian School Dr
Irving, NY 14081-9341
Phone
(716) 532-5582
Fax
(716) 242-6344
NPI assigned
Feb 2, 2006
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 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 003201 NY Primary

Addresses

Primary practice location

275 Thomas Indian School Dr
Irving, NY 14081-9341

Mailing address

987 R C Hoag Dr
Salamanca, NY 14779-1365
Phone (716) 945-5894

Other practice location 1

987 R C Hoag Dr
Salamanca, NY 14779-1365
Phone (716) 945-5894 ext. 5211

Other identifiers 1

IdentifierTypeStateIssuer
02330885MedicaidNY

Other names 1

  • Rebecca A. Mosher 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
I20110412000340 NY Practitioner - Physician Assistant 8123202447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seneca Nation of IndiansGroup PAC ID 8123920592, 29 clinicians

Practice addresses (Care Compare)

275 Thomas Indian School Dr
Irving, NY 14081-9341
Phone (716) 532-5582

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3201NYMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Nation of Indians CurrentSince Sep 3, 2013 Accepting new patients
Seneca Nation of Indians Past Accepting new patients
Seneca Nation of Indians Past Accepting new patients

Locations

275 Thomas Indian School Dr
Irving, NY 14081
Phone (716) 532-5582

36 Thomas Indian School Dr
Irving, NY 14081
Phone (716) 532-5582

987 R C Hoag Dr
Salamanca, NY 14779
Phone (716) 945-5894

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1447222773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 R C HOAG DR",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791365",
            "telephone_number": "716-945-5894",
            "fax_number": "716-242-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 THOMAS INDIAN SCHOOL DR",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "140819341",
            "telephone_number": "716-532-5582",
            "fax_number": "716-242-6344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "987 R C Hoag Dr",
            "address_purpose": "LOCATION",
            "city": "Salamanca",
            "state": "NY",
            "postal_code": "147791365",
            "country_code": "US",
            "telephone_number": "716-945-5894 x5211",
            "fax_number": "716-242-6345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALERNO-MOSHER",
        "first_name": "REBECCA",
        "middle_name": "A.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02330885",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MOSHER",
            "middle_name": "A.",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irving, NY

Sources for this page

Verify at the official NPI Registry.