Individual provider Active NPI

Carrie Saleh Feroleto, PA-C

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1720616055
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
024915 Issued in NY
Practice address
729 Tacoma Ave
Buffalo, NY 14216-2519
Phone
(716) 864-2470
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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 024915 NY Primary

Addresses

Primary practice location

729 Tacoma Ave
Buffalo, NY 14216-2519

Mailing address

1416 Sweet Home Rd Ste 5
Amherst, NY 14228-2784
Phone (716) 834-4266

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200713002987 NY Practitioner - Physician Assistant 3173946985

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1720616055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 SWEET HOME RD STE 5",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282784",
            "telephone_number": "716-834-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 TACOMA AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162519",
            "telephone_number": "716-864-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEROLETO",
        "first_name": "CARRIE",
        "middle_name": "SALEH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-07-23",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.