Alycia M Rosendale, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA058579 Issued in PA

Practice address

2500 Bernville Rd
Reading, PA 19605-9453

Phone

(610) 378-2000

NPI assigned

Oct 4, 2016

Last updated

Aug 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alycia M Mione-Molchan Former name

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PPCP Specialty Physicians , LLC

  • Gastroenterology Physician
  • Goose Creek, SC
  • NPI 1780123984
  Medicare reassignment

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1710437678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 COOL CREEK WAY",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176026128",
            "telephone_number": "484-707-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BERNVILLE RD",
            "city": "READING",
            "state": "PA",
            "postal_code": "196059453",
            "telephone_number": "610-378-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENDALE",
        "first_name": "ALYCIA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYCIA",
            "last_name": "MIONE-MOLCHAN",
            "middle_name": "M",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle Rompala
• Francisco Javier Rosa Gonzalez, MD
• Miguel Angel Rosado, MFT
• Zoila Rosario
• Destiny Roseman, MD
• Ross M Wezmar DDS PC
• Ross M. Wezmar, DDS, PC
• Tracy Rossi, PHARMD
• Alyssa Roth, CRNP
• Erin A Roth

• Medical Physician Assistant in Reading, PA
• Providers in Reading, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.

Verify at the official NPI Registry.