Active NPI
Michael Scott Cinilia, PA-C
- Medical Physician Assistant
- Portsmouth, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0676
- Practice address
- 333 Borthwick Ave
Mob 402
Portsmouth, NH 03801-7128 - Phone
- (603) 559-4111
- Fax
- (603) 559-4110
- NPI assigned
- Sep 20, 2007
- Last updated
- Feb 27, 2017
- Sex
- Male
- 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 | P61030 | NY | |
| Medical Physician Assistant | 363AM0700X | 0676 | NH | Primary |
Addresses
Primary practice location
333 Borthwick Ave
Mob 402
Portsmouth, NH 03801-7128
Mailing address
333 Borthwick Ave
Mob 402
Portsmouth, NH 03801-7128
Phone (603) 559-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3075589 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 Borthwick Ave
Suite 308
Portsmouth, NH 03801-7112
Phone (603) 431-5242
333 Borthwick Ave
Portsmouth, NH 03801-7128
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58271 | CA | MD | Pharmacist |
| 0676 | NH | MD | Pediatric Physical Therapist |
| P61030 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appledore Medical Group, Inc | Current | Accepting new patients | |
| The Parkway Hospital | Past | Accepting new patients | |
| Appledore Medical Group, Inc. | Past | Accepting new patients | |
| Appledore Medical Group II Inc | Past | Accepting new patients |
Locations
330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242
330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242
333 Bothwick Ave
Ste 402
Portsmouth, NH 03801
Phone (603) 433-5110
11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Portsmouth, NH
- NPI 1720077167
-
dba Coastal Cardiothoracic and Vascular Assoc
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Portsmouth, NH
- NPI 1881683415
-
dba dba North Hampton Family Practice
- Family Medicine Physician
- North Hampton, NH
- NPI 1174512693
-
- General Acute Care Hospital
- Forest Hills, NY
- NPI 1124060538
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Portsmouth Regional Hospital
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1518913607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1720274053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 BORTHWICK AVE",
"address_2": "MOB 402",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017128",
"telephone_number": "603-559-4111",
"fax_number": "603-559-4110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 BORTHWICK AVE",
"address_2": "MOB 402",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017128",
"telephone_number": "603-559-4111",
"fax_number": "603-559-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CINILIA",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-20",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "P61030",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NH",
"license": "0676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3075589",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
- Christyn Sieve PSYD Psychological Services PLLC
- Yoo NA Chun, MD
- Kimberlee I Chute, PA-C
- Brian William James Cicero, DMD
- Mary Rose Cieslik, LPN
- Khadijah M. Cisse
- City of Portsmouth New Hampshire (City of Portsmouth Fire Department)
- William Ciurylo, B.S., M.A., D.O.
- Jeanne Civiello
- CJ Physical Therapy and Wellness, LLC (CJ Physical Therapy & Pilates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.