Active NPI
Amber Sielski
- Physician Assistant
- Oneida, NY
National Provider Identifier
1508297326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 024992
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06234922 | Medicaid | NY |
Other names 1
- Amber Latterner
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA056159 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Federally Qualified Health Center (FQHC)
- Syracuse, NY
- NPI 1497796353
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Oneida, NY
- NPI 1942379201
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.