Individual provider Active NPI

Amber Sielski

  • Physician Assistant
  • Oneida, NY
National Provider Identifier
1508297326
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
024992 Issued in NY
Practice address
1144 Meadow Dr
Oneida, NY 13421-2726
Phone
(315) 363-9380
Fax
(315) 363-9382
NPI assigned
Dec 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056159 PA
Physician Assistant 363A00000X 024992 NY Primary

Addresses

Primary practice location

1144 Meadow Dr
Oneida, NY 13421-2726

Mailing address

1144 Meadow Dr
Oneida, NY 13421-2726
Phone (315) 363-9380

Other identifiers 1

IdentifierTypeStateIssuer
06234922MedicaidNY

Other names 1

  • Amber Latterner 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
I20210114002668 NY Practitioner - Physician Assistant 0446479000 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056159PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
James Louis Pfeiff Current Accepting new patients
Syracuse Community Health Center, Inc. Past Accepting new patients

Locations

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

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": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1508297326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 MEADOW DR",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212726",
            "telephone_number": "315-363-9380",
            "fax_number": "315-363-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 MEADOW DR",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212726",
            "telephone_number": "315-363-9380",
            "fax_number": "315-363-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIELSKI",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056159",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06234922",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "LATTERNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.