Individual provider Active NPI

Analise B Ciannilli, PA-C

  • Physician Assistant
  • Atlantic City, NJ
National Provider Identifier
1538056817
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00949200 Issued in NJ
Practice address
7 S Ohio Ave Ste 1400
Atlantic City, NJ 08401-6711
Phone
(609) 572-8600
Fax
(609) 572-8667
NPI assigned
Jun 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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 25MP00949200 NJ Primary

Addresses

Primary practice location

7 S Ohio Ave Ste 1400
Atlantic City, NJ 08401-6711

Mailing address

7 S Ohio Ave Ste 1400
Atlantic City, NJ 08401-6711
Phone (609) 572-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250925001141 NJ Practitioner - Physician Assistant 1951806413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

459 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225
Phone (609) 340-7815

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00949200NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Sep 11, 2025 Accepting new patients
Atlanticare Physician Group PA Past Accepting new patients
Atlanticare Regional Medical Center PastSince Sep 28, 2025 Accepting new patients
Atlanticare Physician Group PastSince Sep 28, 2025 Accepting new patients

Locations

106 Court House South Dennis Rd
Ste 200
Cape May Court House, NJ 08210
Phone (609) 407-2332

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1538056817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 S OHIO AVE STE 1400",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016711",
            "telephone_number": "609-572-8600",
            "fax_number": "609-572-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S OHIO AVE STE 1400",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016711",
            "telephone_number": "609-572-8600",
            "fax_number": "609-572-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANNILLI",
        "first_name": "ANALISE",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00949200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.