Amanda Leigh Serino, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

3129 Issued in CT

Practice address

267 Grant St
Bridgeport, CT 06610-2870

Phone

(203) 384-3000

NPI assigned

Jan 6, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Hospital of Central Connecticut at New Britain General and BradleyGroup PAC ID 6507776564, 396 clinicians

Midstate Medical CenterGroup PAC ID 7416840699, 187 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Midstate Medical Center Hospital, Meriden, CT, CCN 070017

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

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.

• The Hospital of Central Connecticut at New Britain General and Bradley

  dba The Hospital of Central Connecticut

  • Hospitalist Physician
  • New Britain, CT
  • NPI 1063461481
  Medicare reassignment Care Compare group NPD
• Midstate Medical Center

  • General Acute Care Hospital
  • Meriden, CT
  • NPI 1154425288
  Medicare reassignment Care Compare group
• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  Medicare reassignment NPD
• Bristol Hospital Multi Specialty Group, Inc

  • General Practice Physician
  • Bristol, CT
  • NPI 1649265679
  Medicare reassignment
• Nuvance Health Medical Practice CT, Inc.

  • Internal Medicine Physician
  • Danbury, CT
  • NPI 1407898117
  Medicare reassignment
• The Westchester Medical Practice, PC

  dba NewYork-Presbyterian Medical Group/Hudson Valley

  • Specialist
  • Yorktown Heights, NY
  • NPI 1225222953
  Medicare reassignment
• Westchester Vascular PLLC

  • Specialist
  • Dobbs Ferry, NY
  • NPI 1629300926
  Medicare reassignment
• Midstate Medical Center

  • General Acute Care Hospital
  • Meriden, CT
  • NPI 1427007848
  NPD
• Mill Hill Medical Consultants Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • New Haven, CT
  • NPI 1891019675
  NPD
• The Hospital of Central Connecticut at New Britain General and Bradley

  dba The Hospital of Central Connecticut

  • Psychiatric Hospital Unit
  • New Britain, CT
  • NPI 1992867006
  NPD
• Westchester Endrocrinology PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Briarcliff Manor, NY
  • NPI 1316326317
  NPD (past)

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

• Midstate Medical Center

  • General Acute Care Hospital
  • Meriden, CT
  • NPI 1427007848
  Care Compare affiliation
• Midstate Medical Center

  • General Acute Care Hospital
  • Meriden, CT
  • NPI 1669524187
  Care Compare affiliation

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1699163238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 GRANT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102805",
            "telephone_number": "203-384-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 GRANT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102870",
            "telephone_number": "203-384-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068106099",
            "country_code": "US",
            "telephone_number": "203-739-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068106099",
            "country_code": "US",
            "telephone_number": "203-739-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Ashford Ave",
            "address_purpose": "LOCATION",
            "city": "Dobbs Ferry",
            "state": "NY",
            "postal_code": "105221812",
            "country_code": "US",
            "telephone_number": "914-591-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1980 Crompond Rd",
            "address_purpose": "LOCATION",
            "city": "Cortlandt Manor",
            "state": "NY",
            "postal_code": "10567",
            "country_code": "US",
            "telephone_number": "914-737-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1980 Crompond Rd",
            "address_purpose": "LOCATION",
            "city": "Cortlandt Manor",
            "state": "NY",
            "postal_code": "105674144",
            "country_code": "US",
            "telephone_number": "914-737-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1980 Crompond Rd",
            "address_purpose": "LOCATION",
            "city": "Cortlandt Manor",
            "state": "NY",
            "postal_code": "10567",
            "country_code": "US",
            "telephone_number": "914-737-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERINO",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "018243",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "3129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rossana Rusiana Seno, MD
• Scott Moohun Seo, M.D., PH.D.
• Noel Heriberto Sepulveda, D.C., M.S.
• Serene Harbor Psychiatry PLLC
• Joseph A. Seres IV
• Carmen Serrano
• Andrea Servan, LCSW
• Gregory T Servetas, MD
• Samdish Sethi
• Ronald J Setkoski II, PA-C

• Surgical Physician Assistant in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Surgical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.