Alexander Anthony Rotolo, ACNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

310184 Issued in NY

Practice address

462 Grider St
Buffalo, NY 14215-3021

Phone

(716) 898-3000

NPI assigned

Mar 3, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Erie County Medical Center CorporationGroup PAC ID 1456308907, 316 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Erie County Medical Center Hospital, Buffalo, NY, CCN 330219

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Erie County Medical Center Corporation

  • Clinic/Center
  • Buffalo, NY
  • NPI 1528233616
  Medicare reassignment Care Compare group NPD
• Buffalo Internist & Associates LLC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1134381031
  Medicare reassignment NPD
• Roswell Park Cancer Institute

  • Multi-Specialty Clinic/Center
  • Buffalo, NY
  • NPI 1720036593
  Medicare reassignment
• Erie County Medical Center Corporation

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1922768621
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Erie County Medical Center Corporation

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1437197985
  Care Compare affiliation

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1659966471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4267 TRANSIT RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217205",
            "telephone_number": "716-204-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 GRIDER ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153021",
            "telephone_number": "716-898-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTOLO",
        "first_name": "ALEXANDER",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "310184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arotolo.credentialing@stansberryandknight.com",
            "affiliation": "N",
            "address_1": "4267 Transit Rd",
            "city": "Williamsville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142217205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marcia Ann Roth, N.P.
• Alyssa Rothman
• Ilene L Rothman, MD
• Samuel Joshua Rothman, MD
• Cynthia A Rotino
• Kristen Lyn Rottier, OTR/L
• Brittany Rouchou, M.D., M.P.H.
• Alexandria Rouse
• Arica Rouse
• Jenna Marie Rouse

• Adult Health Nurse Practitioner in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.

Verify at the official NPI Registry.